Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.39 / $431.39 / $2,763.13	Facility		$431.39	$431.39	$2,763.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.85 / $431.39 / $2,763.13	Professional		$352.85	$431.39	$2,763.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.58 / $1,349.56 / $3,039.96	Facility		$327.58	$1,349.56	$3,039.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.72 / $437.46 / $737.25	Professional		$386.72	$437.46	$737.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,133.81 / $2,024.66	Facility		$97.00	$1,133.81	$2,024.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,270.67 / $2,959.82	Professional		$100.00	$1,270.67	$2,959.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.93 / $512.80 / $512.80	Facility		$447.93	$512.80	$512.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.35 / $374.35 / $528.19	Professional		$374.35	$374.35	$528.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $511.92 / $614.29 / $1,053.45	Professional		$511.92	$614.29	$1,053.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.61 / $670.38 / $1,455.67	Professional		$574.61	$670.38	$1,455.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,609.26 / $3,769.74 / $4,548.97	Facility		$1,609.26	$3,769.74	$4,548.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,413.46 / $5,543.37 / $6,280.80	Professional		$5,413.46	$5,543.37	$6,280.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,472.43 / $1,472.43 / $1,472.43	Professional		$1,472.43	$1,472.43	$1,472.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.33 / $814.03 / $970.64	Facility		$231.33	$814.03	$970.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.35 / $512.80 / $747.81	Professional		$374.35	$512.80	$747.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,807.57 / $1,807.57 / $1,807.57	Professional		$1,807.57	$1,807.57	$1,807.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $511.92 / $766.14 / $767.88	Professional		$511.92	$766.14	$767.88
United Facility/Professional Professional Modifier Low / Median / High Price $331.31 / $358.92 / $969.24	Professional		$331.31	$358.92	$969.24