Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,454.71 / $4,786.30	Facility		$954.99	$2,454.71	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $3,981.07	Professional		$363.08	$512.86	$3,981.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,380.38 / $3,019.95	Facility		$275.42	$1,380.38	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $977.24	Professional		$239.88	$257.04	$977.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,348.96 / $1,698.24	Facility		$436.52	$1,348.96	$1,698.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $1,174.90	Professional		$346.74	$446.68	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,047.13 / $2,137.96	Facility		$407.38	$1,047.13	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,230.27	Professional		$323.59	$575.44	$1,230.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $812.83	Professional		$478.63	$602.56	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,047.13	Professional		$478.63	$630.96	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,466.84 / $4,466.84	Professional		$3,019.95	$4,466.84	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $602.56 / $602.56	Professional		$302.00	$602.56	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $691.83 / $1,513.56	Facility		$354.81	$691.83	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,202.26	Professional		$323.59	$602.56	$1,202.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $7,244.36	Professional		$478.63	$602.56	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $331.13 / $602.56	Facility		$269.15	$331.13	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $1,000.00	Professional		$251.19	$251.19	$1,000.00