Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $6,309.57	Facility		$645.65	$645.65	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $5,495.41	Professional		$524.81	$645.65	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $2,818.38	Facility		$489.78	$630.96	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,659.59	Professional		$660.69	$660.69	$1,659.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,511.89 / $3,388.44	Facility		$100.00	$2,511.89	$3,388.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,691.53 / $4,677.35	Professional		$1,380.38	$2,691.53	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $707.95	Professional		$524.81	$524.81	$707.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,778.28	Professional		$776.25	$954.99	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,290.87	Professional		$870.96	$1,318.26	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,258.93 / $1,778.28	Facility		$346.74	$1,258.93	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,202.26	Professional		$524.81	$524.81	$1,202.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,318.26	Professional		$776.25	$1,148.15	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $537.03 / $1,479.11	Facility		$89.13	$537.03	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $1,445.44	Professional		$501.19	$602.56	$1,445.44