Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $1,264.26 / $9,563.79	Facility		$58.00	$1,264.26	$9,563.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $9,563.79	Professional		$58.00	$58.00	$9,563.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.90 / $2,671.61 / $7,332.73	Facility		$600.90	$2,671.61	$7,332.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.95 / $612.79 / $2,231.05	Professional		$594.95	$612.79	$2,231.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $1,075.36 / $4,194.38	Facility		$92.60	$1,075.36	$4,194.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $676.75 / $966.79 / $1,836.90	Professional		$676.75	$966.79	$1,836.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.12 / $1,996.42 / $4,867.79	Facility		$957.12	$1,996.42	$4,867.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.11 / $1,812.66 / $2,265.83	Professional		$870.11	$1,812.66	$2,265.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $1,487.37 / $2,379.79	Professional		$99.00	$1,487.37	$2,379.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,189.90 / $1,487.37 / $2,602.90	Professional		$1,189.90	$1,487.37	$2,602.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,379.79 / $7,065.01 / $7,065.01	Facility		$2,379.79	$7,065.01	$7,065.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $743.68 / $743.68 / $743.68	Professional		$743.68	$743.68	$743.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $743.69 / $1,413.00 / $3,669.92	Facility		$743.69	$1,413.00	$3,669.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $892.42 / $1,487.37 / $2,206.07	Professional		$892.42	$1,487.37	$2,206.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,220.66 / $5,220.66 / $5,220.66	Professional		$5,220.66	$5,220.66	$5,220.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,189.90 / $1,487.37 / $2,082.32	Professional		$1,189.90	$1,487.37	$2,082.32
United Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $624.70 / $2,275.67	Professional		$624.70	$624.70	$2,275.67