Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,659.59 / $5,128.61	Facility		$660.69	$1,659.59	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $5,128.61	Professional		$602.56	$794.33	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,819.70 / $3,890.45	Facility		$363.08	$1,819.70	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $331.13 / $1,258.93	Professional		$66.07	$331.13	$1,258.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,778.28 / $2,187.76	Facility		$562.34	$1,778.28	$2,187.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,737.80	Professional		$524.81	$691.83	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,380.38 / $2,630.27	Facility		$331.13	$1,380.38	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $2,238.72	Professional		$416.87	$512.86	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,047.13	Professional		$602.56	$776.25	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,380.38	Professional		$707.95	$851.14	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,888.44 / $5,888.44	Professional		$3,890.45	$5,888.44	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $2,290.87	Facility		$588.84	$977.24	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $831.76 / $2,187.76	Professional		$416.87	$831.76	$2,187.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,023.29	Professional		$602.56	$707.95	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $776.25 / $776.25	Facility		$331.13	$776.25	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $1,513.56	Professional		$331.13	$331.13	$1,513.56