Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.61 / $852.61 / $4,475.02	Facility		$852.61	$852.61	$4,475.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.68 / $852.61 / $4,475.02	Professional		$677.68	$852.61	$4,475.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $647.45 / $2,353.16 / $4,923.34	Facility		$647.45	$2,353.16	$4,923.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.23 / $929.30 / $1,477.89	Professional		$775.23	$929.30	$1,477.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,836.25 / $3,279.02	Facility		$97.00	$1,836.25	$3,279.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,057.92 / $4,793.58	Professional		$100.00	$2,057.92	$4,793.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,232.14	Facility		$1,115.23	$1,115.23	$1,232.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $814.12 / $1,188.90	Professional		$814.12	$814.12	$1,188.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $829.08 / $994.90 / $1,706.10	Professional		$829.08	$994.90	$1,706.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $930.60 / $1,085.70 / $2,357.52	Professional		$930.60	$1,085.70	$2,357.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,669.74 / $7,399.97 / $7,399.97	Facility		$2,669.74	$7,399.97	$7,399.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,000.67 / $8,000.67 / $11,632.50	Professional		$8,000.67	$8,000.67	$11,632.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,274.99 / $3,274.99 / $3,274.99	Professional		$3,274.99	$3,274.99	$3,274.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.21 / $1,398.71 / $1,597.56	Facility		$457.21	$1,398.71	$1,597.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $1,115.23 / $1,476.27	Professional		$814.12	$1,115.23	$1,476.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,927.46 / $2,927.46 / $2,927.46	Professional		$2,927.46	$2,927.46	$2,927.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $829.08 / $1,240.80 / $1,243.61	Professional		$829.08	$1,240.80	$1,243.61
United Facility/Professional Professional Modifier Low / Median / High Price $654.79 / $708.22 / $1,500.74	Professional		$654.79	$708.22	$1,500.74