Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.34 / $2,091.17 / $4,701.63	Facility		$599.34	$2,091.17	$4,701.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.22 / $599.34 / $3,760.91	Professional		$456.22	$599.34	$3,760.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.91 / $1,050.59 / $2,883.56	Facility		$337.91	$1,050.59	$2,883.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $813.64 / $1,926.65	Professional		$288.83	$813.64	$1,926.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $953.17 / $6,477.24	Facility		$59.40	$953.17	$6,477.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $328.56 / $469.37 / $1,179.95	Professional		$328.56	$469.37	$1,179.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.61 / $1,003.70 / $2,018.29	Facility		$429.61	$1,003.70	$2,018.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.20 / $586.51 / $2,881.69	Professional		$361.20	$586.51	$2,881.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $519.91 / $597.90 / $789.62	Professional		$519.91	$597.90	$789.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $672.64 / $1,325.50	Professional		$526.41	$672.64	$1,325.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,017.73 / $2,778.28 / $2,778.28	Facility		$1,017.73	$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 $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $498.20 / $752.78 / $1,694.06	Facility		$498.20	$752.78	$1,694.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $388.40 / $695.47 / $1,616.30	Professional		$388.40	$695.47	$1,616.30
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 / $582.29 / $883.85	Professional		$467.92	$582.29	$883.85
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $303.27 / $1,173.89	Professional		$245.66	$303.27	$1,173.89