Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $7,762.47	Facility		$812.83	$812.83	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $6,918.31	Professional		$630.96	$812.83	$6,918.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $776.25 / $3,548.13	Facility		$616.60	$776.25	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $2,041.74	Professional		$812.83	$812.83	$2,041.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,090.30 / $4,168.69	Facility		$100.00	$3,090.30	$4,168.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,388.44 / $5,754.40	Professional		$1,737.80	$3,388.44	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $891.25	Facility		$831.76	$831.76	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $831.76	Professional		$616.60	$616.60	$831.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,187.76	Professional		$954.99	$1,202.26	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $2,884.03	Professional		$1,096.48	$1,621.81	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Facility		$8,511.38	$8,511.38	$8,511.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,479.11 / $2,187.76	Facility		$457.09	$1,479.11	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,318.26	Professional		$616.60	$616.60	$1,318.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $1,621.81	Professional		$954.99	$1,445.44	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $660.69 / $1,819.70	Facility		$109.65	$660.69	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,819.70	Professional		$616.60	$776.25	$1,819.70