Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.42 / $824.42 / $5,280.61	Facility		$824.42	$824.42	$5,280.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.74 / $824.42 / $5,280.61	Professional		$656.74	$824.42	$5,280.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $626.04 / $2,579.15 / $5,809.67	Facility		$626.04	$2,579.15	$5,809.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.71 / $803.81 / $1,317.98	Professional		$687.71	$803.81	$1,317.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,166.81 / $3,869.31	Facility		$97.00	$2,166.81	$3,869.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,428.39 / $5,656.51	Professional		$100.00	$2,428.39	$5,656.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $856.03 / $857.71 / $978.32	Facility		$856.03	$857.71	$978.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.13 / $626.13 / $883.44	Professional		$626.13	$626.13	$883.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $780.18 / $936.22 / $2,013.24	Professional		$780.18	$936.22	$2,013.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,098.13 / $1,281.15 / $2,781.93	Professional		$1,098.13	$1,281.15	$2,781.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,390.28 / $8,693.54 / $8,693.54	Facility		$3,390.28	$8,693.54	$8,693.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,955.37 / $13,266.32 / $13,266.32	Professional		$12,955.37	$13,266.32	$13,266.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,326.53 / $3,326.53 / $3,326.53	Professional		$3,326.53	$3,326.53	$3,326.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.10 / $1,602.60 / $1,856.82	Facility		$442.10	$1,602.60	$1,856.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $626.13 / $857.71 / $1,742.03	Professional		$626.13	$857.71	$1,742.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,454.46 / $3,454.46 / $3,454.46	Professional		$3,454.46	$3,454.46	$3,454.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $780.18 / $1,326.31 / $1,464.18	Professional		$780.18	$1,326.31	$1,464.18
United Facility/Professional Professional Modifier Low / Median / High Price $621.79 / $684.80 / $1,663.01	Professional		$621.79	$684.80	$1,663.01