Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,630.27 / $4,466.84	Facility		$1,071.52	$2,630.27	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $3,890.45	Professional		$389.05	$549.54	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,348.96 / $2,951.21	Facility		$331.13	$1,348.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,905.46	Professional		$588.84	$870.96	$1,905.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,621.81 / $6,918.31	Facility		$69.18	$1,621.81	$6,918.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,412.54	Professional		$426.58	$562.34	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,023.29 / $2,454.71	Facility		$446.68	$1,023.29	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,698.24	Professional		$346.74	$489.78	$1,698.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $794.33	Professional		$524.81	$602.56	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,148.15	Professional		$524.81	$645.65	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $4,365.16	Professional		$2,951.21	$4,365.16	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $1,737.80	Facility		$478.63	$707.95	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $1,659.59	Professional		$346.74	$630.96	$1,659.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $891.25	Professional		$467.74	$588.84	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $588.84 / $588.84	Facility		$245.47	$588.84	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $1,122.02	Professional		$245.47	$302.00	$1,122.02