Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.66 / $647.66 / $4,148.45	Facility		$647.66	$647.66	$4,148.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.71 / $647.66 / $4,148.45	Professional		$533.71	$647.66	$4,148.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $491.83 / $2,026.18 / $4,564.07	Facility		$491.83	$2,026.18	$4,564.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.33 / $656.78 / $1,119.66	Professional		$587.33	$656.78	$1,119.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,702.25 / $3,039.74	Facility		$97.00	$1,702.25	$3,039.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,907.74 / $4,443.77	Professional		$100.00	$1,907.74	$4,443.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.81 / $711.81 / $1,672.79	Facility		$711.81	$711.81	$1,672.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $519.62 / $733.16	Professional		$519.62	$519.62	$733.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $768.58 / $922.30 / $1,581.60	Professional		$768.58	$922.30	$1,581.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $862.69 / $1,006.47 / $2,185.48	Professional		$862.69	$1,006.47	$2,185.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $5,716.25 / $6,829.65	Facility		$2,444.00	$5,716.25	$6,829.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,653.64 / $8,861.31 / $8,861.31	Professional		$8,653.64	$8,861.31	$8,861.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,456.86 / $2,456.86 / $2,456.86	Professional		$2,456.86	$2,456.86	$2,456.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $347.31 / $1,271.16 / $1,509.54	Facility		$347.31	$1,271.16	$1,509.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $711.81 / $1,213.53	Professional		$519.62	$711.81	$1,213.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,713.83 / $2,713.83 / $2,713.83	Professional		$2,713.83	$2,713.83	$2,713.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $768.58 / $1,150.26 / $1,152.86	Professional		$768.58	$1,150.26	$1,152.86
United Facility/Professional Professional Modifier Low / Median / High Price $497.41 / $537.98 / $1,399.36	Professional		$497.41	$537.98	$1,399.36