Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.91 / $671.31 / $671.31	Facility		$602.91	$671.31	$671.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.91 / $741.23 / $1,706.56	Professional		$602.91	$741.23	$1,706.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $845.73 / $845.73 / $3,827.52	Facility		$845.73	$845.73	$3,827.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.24 / $863.27 / $1,599.17	Professional		$624.24	$863.27	$1,599.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $480.26 / $703.04 / $1,579.93	Professional		$480.26	$703.04	$1,579.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.11 / $876.11 / $876.11	Facility		$876.11	$876.11	$876.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.79 / $853.52 / $1,725.67	Professional		$650.79	$853.52	$1,725.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $535.29 / $853.32 / $1,151.98	Professional		$535.29	$853.32	$1,151.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.41 / $861.86 / $1,895.00	Professional		$686.41	$861.86	$1,895.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.76 / $3,462.08 / $3,758.63	Facility		$1,778.76	$3,462.08	$3,758.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,845.55 / $5,409.99 / $6,206.93	Professional		$4,845.55	$5,409.99	$6,206.93
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 $701.63 / $933.17 / $1,316.28	Facility		$701.63	$933.17	$1,316.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $667.67 / $959.42 / $1,905.96	Professional		$667.67	$959.42	$1,905.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,093.79 / $2,093.79 / $2,093.79	Professional		$2,093.79	$2,093.79	$2,093.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $535.29 / $689.49 / $948.05	Professional		$535.29	$689.49	$948.05
United Facility/Professional Professional Modifier Low / Median / High Price $512.40 / $677.10 / $1,318.37	Professional		$512.40	$677.10	$1,318.37