Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.50 / $801.18 / $6,851.03	Facility		$668.50	$801.18	$6,851.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.20 / $668.50 / $2,164.17	Professional		$541.20	$668.50	$2,164.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.86 / $1,215.13 / $3,335.15	Facility		$330.86	$1,215.13	$3,335.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.81 / $683.81 / $1,674.44	Professional		$282.81	$683.81	$1,674.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $489.11 / $1,907.73	Facility		$92.60	$489.11	$1,907.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.96 / $507.08 / $1,243.84	Professional		$354.96	$507.08	$1,243.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.89 / $1,169.68 / $2,264.61	Facility		$496.89	$1,169.68	$2,264.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.84 / $533.03 / $1,913.94	Professional		$375.84	$533.03	$1,913.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $514.05 / $676.50 / $913.28	Professional		$514.05	$676.50	$913.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.85 / $777.98 / $1,319.18	Professional		$608.85	$777.98	$1,319.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,177.10 / $3,213.38 / $3,213.38	Facility		$1,177.10	$3,213.38	$3,213.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,382.50 / $3,382.50 / $5,073.75	Professional		$3,382.50	$3,382.50	$5,073.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $811.80 / $811.80 / $811.80	Professional		$811.80	$811.80	$811.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.03 / $870.67 / $1,976.11	Facility		$575.03	$870.67	$1,976.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $423.83 / $777.72 / $1,756.50	Professional		$423.83	$777.72	$1,756.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,374.51 / $2,374.51 / $2,374.51	Professional		$2,374.51	$2,374.51	$2,374.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $524.34 / $608.85 / $873.90	Professional		$524.34	$608.85	$873.90
United Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $328.14 / $1,344.07	Professional		$284.13	$328.14	$1,344.07