Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.97 / $838.51 / $838.51	Facility		$751.97	$838.51	$838.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.91 / $960.73 / $2,127.14	Professional		$735.91	$960.73	$2,127.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,050.36 / $1,050.36 / $4,753.64	Facility		$1,050.36	$1,050.36	$4,753.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.76 / $1,084.09 / $1,986.13	Professional		$778.76	$1,084.09	$1,986.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $595.57 / $873.50 / $1,895.87	Professional		$595.57	$873.50	$1,895.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,147.68 / $1,147.68 / $1,147.68	Facility		$1,147.68	$1,147.68	$1,147.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.94 / $1,065.22 / $2,151.73	Professional		$811.94	$1,065.22	$2,151.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $664.10 / $1,102.40 / $1,488.24	Professional		$664.10	$1,102.40	$1,488.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $892.66 / $1,113.33 / $2,496.00	Professional		$892.66	$1,113.33	$2,496.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,333.66 / $4,512.68 / $4,877.02	Facility		$2,333.66	$4,512.68	$4,877.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,334.07 / $6,762.49 / $8,081.70	Professional		$6,334.07	$6,762.49	$8,081.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $864.77 / $1,191.14 / $1,707.29	Facility		$864.77	$1,191.14	$1,707.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $836.52 / $1,206.06 / $2,471.73	Professional		$836.52	$1,206.06	$2,471.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,638.19 / $2,638.19 / $2,638.19	Professional		$2,638.19	$2,638.19	$2,638.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $664.10 / $890.66 / $1,224.66	Professional		$664.10	$890.66	$1,224.66
United Facility/Professional Professional Modifier Low / Median / High Price $645.96 / $853.60 / $1,886.79	Professional		$645.96	$853.60	$1,886.79