Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.53 / $576.53 / $3,025.98	Facility		$576.53	$576.53	$3,025.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.24 / $576.53 / $3,025.98	Professional		$458.24	$576.53	$3,025.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.80 / $1,591.18 / $3,329.11	Facility		$437.80	$1,591.18	$3,329.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.20 / $562.11 / $999.35	Professional		$524.20	$562.11	$999.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,241.66 / $2,217.23	Facility		$97.00	$1,241.66	$2,217.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,391.55 / $3,241.37	Professional		$100.00	$1,391.55	$3,241.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.70 / $695.41 / $695.41	Facility		$437.70	$695.41	$695.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $507.65 / $741.34	Professional		$507.65	$507.65	$741.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $560.62 / $672.74 / $1,153.65	Professional		$560.62	$672.74	$1,153.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $629.26 / $734.14 / $1,594.13	Professional		$629.26	$734.14	$1,594.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,805.28 / $5,003.81 / $5,003.81	Facility		$1,805.28	$5,003.81	$5,003.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,409.92 / $5,409.92 / $7,865.78	Professional		$5,409.92	$5,409.92	$7,865.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,214.55 / $2,214.55 / $2,214.55	Professional		$2,214.55	$2,214.55	$2,214.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.16 / $918.34 / $1,080.27	Facility		$309.16	$918.34	$1,080.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $695.41 / $998.24	Professional		$507.65	$695.41	$998.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,979.53 / $1,979.53 / $1,979.53	Professional		$1,979.53	$1,979.53	$1,979.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $560.62 / $839.02 / $840.93	Professional		$560.62	$839.02	$840.93
United Facility/Professional Professional Modifier Low / Median / High Price $434.83 / $478.89 / $997.88	Professional		$434.83	$478.89	$997.88