Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.00 / $1,599.03 / $8,681.71	Facility		$728.00	$1,599.03	$8,681.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $728.00 / $8,681.71	Professional		$728.00	$728.00	$8,681.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.80 / $2,332.98 / $6,656.44	Facility		$568.80	$2,332.98	$6,656.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.08 / $2,756.02 / $5,789.50	Professional		$540.08	$2,756.02	$5,789.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $976.19 / $3,807.54	Facility		$92.60	$976.19	$3,807.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $614.33 / $877.62 / $2,194.48	Professional		$614.33	$877.62	$2,194.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $917.77 / $1,900.92 / $4,418.82	Facility		$917.77	$1,900.92	$4,418.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.08 / $894.60 / $2,608.50	Professional		$540.08	$894.60	$2,608.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $1,485.21 / $2,160.30	Professional		$1,350.19	$1,485.21	$2,160.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,080.15 / $1,485.21 / $2,362.83	Professional		$1,080.15	$1,485.21	$2,362.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,160.30 / $6,413.40 / $6,413.40	Facility		$2,160.30	$6,413.40	$6,413.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,750.95 / $6,750.95 / $10,126.43	Professional		$6,750.95	$6,750.95	$10,126.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $675.09 / $675.09 / $945.13	Professional		$675.09	$675.09	$945.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $810.11 / $1,377.19 / $3,224.14	Facility		$810.11	$1,377.19	$3,224.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.49 / $1,444.62 / $2,608.50	Professional		$794.49	$1,444.62	$2,608.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,739.16 / $4,739.16 / $4,739.16	Professional		$4,739.16	$4,739.16	$4,739.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,850.00 / $1,850.00 / $1,850.00	Facility		$1,850.00	$1,850.00	$1,850.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $607.59 / $2,451.81	Professional		$567.08	$607.59	$2,451.81