Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.75 / $1,267.68 / $3,760.91	Facility		$601.75	$1,267.68	$3,760.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.27 / $665.93 / $3,760.91	Professional		$437.27	$665.93	$3,760.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.91 / $1,010.65 / $2,883.56	Facility		$337.91	$1,010.65	$2,883.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $717.31 / $1,540.47	Professional		$288.83	$717.31	$1,540.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $1,095.98 / $7,285.16	Facility		$59.90	$1,095.98	$7,285.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $365.06 / $521.51 / $1,271.28	Professional		$365.06	$521.51	$1,271.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.71 / $767.98 / $1,957.98	Facility		$398.71	$767.98	$1,957.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.18 / $687.83 / $1,798.63	Professional		$382.18	$687.83	$1,798.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $519.91 / $584.90 / $789.62	Professional		$519.91	$584.90	$789.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $643.39 / $1,117.16	Professional		$467.92	$643.39	$1,117.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $935.84 / $2,778.28 / $2,778.28	Facility		$935.84	$2,778.28	$2,778.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,924.50 / $2,924.50 / $4,386.75	Professional		$2,924.50	$2,924.50	$4,386.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $292.45 / $292.45	Professional		$292.45	$292.45	$292.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.49 / $676.74 / $1,396.56	Facility		$368.49	$676.74	$1,396.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $388.61 / $657.91 / $1,449.23	Professional		$388.61	$657.91	$1,449.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,052.98 / $2,052.98 / $2,052.98	Professional		$2,052.98	$2,052.98	$2,052.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $530.30 / $883.85	Professional		$467.92	$530.30	$883.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,250.00	Facility		$1,250.00	$1,250.00	$1,250.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $336.98 / $1,123.58	Professional		$245.66	$336.98	$1,123.58