Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.15 / $807.15 / $4,236.45	Facility		$807.15	$807.15	$4,236.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.54 / $807.15 / $4,236.45	Professional		$641.54	$807.15	$4,236.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.92 / $2,227.69 / $4,660.89	Facility		$612.92	$2,227.69	$4,660.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.88 / $797.06 / $1,399.07	Professional		$733.88	$797.06	$1,399.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,738.37 / $3,104.23	Facility		$97.00	$1,738.37	$3,104.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,948.21 / $4,538.03	Professional		$100.00	$1,948.21	$4,538.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.70 / $1,038.85 / $1,038.85	Facility		$437.70	$1,038.85	$1,038.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $758.37 / $1,107.48	Professional		$758.37	$758.37	$1,107.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $784.86 / $941.83 / $1,615.15	Professional		$784.86	$941.83	$1,615.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $880.99 / $1,027.82 / $2,231.85	Professional		$880.99	$1,027.82	$2,231.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,527.36 / $7,005.45 / $7,005.45	Facility		$2,527.36	$7,005.45	$7,005.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,574.03 / $7,574.03 / $11,012.40	Professional		$7,574.03	$7,574.03	$11,012.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,100.39 / $3,100.39 / $3,100.39	Professional		$3,100.39	$3,100.39	$3,100.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.84 / $1,285.71 / $1,512.39	Facility		$432.84	$1,285.71	$1,512.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $1,038.85 / $1,397.57	Professional		$758.37	$1,038.85	$1,397.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,771.39 / $2,771.39 / $2,771.39	Professional		$2,771.39	$2,771.39	$2,771.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $784.86 / $1,174.66 / $1,177.29	Professional		$784.86	$1,174.66	$1,177.29
United Facility/Professional Professional Modifier Low / Median / High Price $610.44 / $671.55 / $1,914.34	Professional		$610.44	$671.55	$1,914.34