Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.79 / $958.79 / $6,141.28	Facility		$958.79	$958.79	$6,141.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.00 / $958.79 / $6,141.28	Professional		$754.00	$958.79	$6,141.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.09 / $2,999.50 / $6,756.53	Facility		$728.09	$2,999.50	$6,756.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.88 / $970.78 / $1,580.44	Professional		$796.88	$970.78	$1,580.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,519.94 / $4,499.91	Facility		$97.00	$2,519.94	$4,499.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,824.17 / $6,578.46	Professional		$100.00	$2,824.17	$6,578.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,030.36 / $2,120.40	Facility		$1,030.36	$1,030.36	$2,120.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $752.17 / $1,893.75	Professional		$752.17	$752.17	$1,893.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.77 / $1,365.32 / $2,341.36	Professional		$1,137.77	$1,365.32	$2,341.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,277.10 / $1,489.96 / $3,235.34	Professional		$1,277.10	$1,489.96	$3,235.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,316.11 / $8,437.43 / $10,110.42	Facility		$3,316.11	$8,437.43	$10,110.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,969.29 / $11,232.54 / $12,751.35	Professional		$10,969.29	$11,232.54	$12,751.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,330.63 / $3,330.63 / $3,330.63	Professional		$3,330.63	$3,330.63	$3,330.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $514.15 / $1,881.78 / $2,157.27	Facility		$514.15	$1,881.78	$2,157.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $752.17 / $1,809.23	Professional		$752.17	$752.17	$1,809.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,017.49 / $4,017.49 / $4,017.49	Professional		$4,017.49	$4,017.49	$4,017.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,137.77 / $1,702.81 / $1,706.66	Professional		$1,137.77	$1,702.81	$1,706.66
United Facility/Professional Professional Modifier Low / Median / High Price $736.35 / $797.71 / $2,128.51	Professional		$736.35	$797.71	$2,128.51