Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.48 / $496.48 / $2,605.80	Facility		$496.48	$496.48	$2,605.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.61 / $496.48 / $2,605.80	Professional		$394.61	$496.48	$2,605.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.02 / $1,370.28 / $2,866.84	Facility		$377.02	$1,370.28	$2,866.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.42 / $502.69 / $860.56	Professional		$451.42	$502.69	$860.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,069.25 / $1,909.38	Facility		$98.20	$1,069.25	$1,909.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,198.31 / $2,791.29	Professional		$100.00	$1,198.31	$2,791.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $717.47	Facility		$576.88	$576.88	$717.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $421.12 / $614.98	Professional		$421.12	$421.12	$614.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $482.78 / $579.34 / $993.45	Professional		$482.78	$579.34	$993.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.88 / $632.20 / $1,372.77	Professional		$541.88	$632.20	$1,372.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,453.62 / $4,308.97 / $4,308.97	Facility		$1,453.62	$4,308.97	$4,308.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,658.79 / $4,658.79 / $6,773.70	Professional		$4,658.79	$4,658.79	$6,773.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,907.03 / $1,907.03 / $1,907.03	Professional		$1,907.03	$1,907.03	$1,907.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.24 / $812.83 / $930.26	Facility		$266.24	$812.83	$930.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $576.88 / $859.62	Professional		$421.12	$576.88	$859.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,704.65 / $1,704.65 / $1,704.65	Professional		$1,704.65	$1,704.65	$1,704.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $482.78 / $722.51 / $724.17	Professional		$482.78	$722.51	$724.17
United Facility/Professional Facility Modifier Low / Median / High Price $936.84 / $1,102.16 / $1,102.16	Facility		$936.84	$1,102.16	$1,102.16
United Facility/Professional Professional Modifier Low / Median / High Price $375.48 / $413.07 / $920.81	Professional		$375.48	$413.07	$920.81