Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.92 / $648.92 / $3,405.94	Facility		$648.92	$648.92	$3,405.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.77 / $648.92 / $3,405.94	Professional		$515.77	$648.92	$3,405.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $492.78 / $1,791.01 / $3,747.17	Facility		$492.78	$1,791.01	$3,747.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.03 / $654.42 / $1,124.83	Professional		$590.03	$654.42	$1,124.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,397.55 / $2,495.63	Facility		$97.00	$1,397.55	$2,495.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,566.28 / $3,648.39	Professional		$100.00	$1,566.28	$3,648.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.70 / $944.53 / $944.53	Facility		$437.70	$944.53	$944.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.51 / $689.51 / $1,006.92	Professional		$689.51	$689.51	$1,006.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $631.00 / $757.20 / $1,298.52	Professional		$631.00	$757.20	$1,298.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.28 / $826.33 / $1,794.31	Professional		$708.28	$826.33	$1,794.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,900.08 / $5,632.19 / $5,632.19	Facility		$1,900.08	$5,632.19	$5,632.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,089.34 / $6,089.34 / $8,853.53	Professional		$6,089.34	$6,089.34	$8,853.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,492.69 / $2,492.69 / $2,492.69	Professional		$2,492.69	$2,492.69	$2,492.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $347.99 / $1,033.66 / $1,215.95	Facility		$347.99	$1,033.66	$1,215.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $689.51 / $944.53 / $1,123.58	Professional		$689.51	$944.53	$1,123.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,228.09 / $2,228.09 / $2,228.09	Professional		$2,228.09	$2,228.09	$2,228.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $631.00 / $944.38 / $946.50	Professional		$631.00	$944.38	$946.50
United Facility/Professional Professional Modifier Low / Median / High Price $498.37 / $539.03 / $1,148.89	Professional		$498.37	$539.03	$1,148.89