Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.37 / $436.37 / $2,771.38	Facility		$436.37	$436.37	$2,771.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.63 / $436.37 / $2,771.38	Professional		$357.63	$436.37	$2,771.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.37 / $1,353.58 / $3,049.01	Facility		$331.37	$1,353.58	$3,049.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.82 / $452.73 / $900.93	Professional		$441.82	$452.73	$900.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,137.18 / $2,030.68	Facility		$97.00	$1,137.18	$2,030.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,274.46 / $2,968.68	Professional		$100.00	$1,274.46	$2,968.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.26 / $454.00 / $513.44	Facility		$449.26	$454.00	$513.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $331.42 / $483.99	Professional		$331.42	$331.42	$483.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $357.73 / $429.28 / $1,056.58	Professional		$357.73	$429.28	$1,056.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $576.32 / $672.37 / $1,460.01	Professional		$576.32	$672.37	$1,460.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,966.54 / $4,562.52 / $4,562.52	Facility		$1,966.54	$4,562.52	$4,562.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,610.54 / $4,610.54 / $5,449.13	Professional		$4,610.54	$4,610.54	$5,449.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,579.73 / $1,579.73 / $1,579.73	Professional		$1,579.73	$1,579.73	$1,579.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $802.25 / $968.74	Facility		$234.00	$802.25	$968.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $454.00 / $816.45	Professional		$331.42	$454.00	$816.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,812.98 / $1,812.98 / $1,812.98	Professional		$1,812.98	$1,812.98	$1,812.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $357.73 / $608.14 / $768.42	Professional		$357.73	$608.14	$768.42
United Facility/Professional Professional Modifier Low / Median / High Price $335.13 / $368.82 / $867.36	Professional		$335.13	$368.82	$867.36