Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.30 / $824.30 / $3,959.86	Facility		$824.30	$824.30	$3,959.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.07 / $824.30 / $3,959.86	Professional		$637.07	$824.30	$3,959.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.95 / $2,103.96 / $4,356.57	Facility		$625.95	$2,103.96	$4,356.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.52 / $816.05 / $1,276.38	Professional		$669.52	$816.05	$1,276.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,624.85 / $2,901.52	Facility		$97.00	$1,624.85	$2,901.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,821.00 / $4,241.74	Professional		$100.00	$1,821.00	$4,241.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $969.19 / $1,046.36	Facility		$969.19	$969.19	$1,046.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.51 / $707.51 / $1,591.13	Professional		$707.51	$707.51	$1,591.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $733.62 / $880.34 / $1,509.70	Professional		$733.62	$880.34	$1,509.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.47 / $960.72 / $2,086.12	Professional		$823.47	$960.72	$2,086.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,598.50 / $7,319.72 / $7,319.72	Facility		$2,598.50	$7,319.72	$7,319.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,113.04 / $9,113.04 / $10,293.37	Professional		$9,113.04	$9,113.04	$10,293.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,751.35 / $3,751.35 / $3,751.35	Professional		$3,751.35	$3,751.35	$3,751.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.03 / $1,340.82 / $1,441.07	Facility		$442.03	$1,340.82	$1,441.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.51 / $707.51 / $1,372.45	Professional		$707.51	$707.51	$1,372.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,590.44 / $2,590.44 / $2,590.44	Professional		$2,590.44	$2,590.44	$2,590.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $733.62 / $1,097.96 / $1,100.43	Professional		$733.62	$1,097.96	$1,100.43
United Facility/Professional Professional Modifier Low / Median / High Price $621.70 / $684.70 / $1,335.74	Professional		$621.70	$684.70	$1,335.74