Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.84 / $804.84 / $5,155.21	Facility		$804.84	$804.84	$5,155.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.91 / $804.84 / $5,155.21	Professional		$621.91	$804.84	$5,155.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $611.17 / $2,517.89 / $5,671.68	Facility		$611.17	$2,517.89	$5,671.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.72 / $804.84 / $1,390.69	Professional		$653.72	$804.84	$1,390.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,115.34 / $3,777.40	Facility		$97.00	$2,115.34	$3,777.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,370.71 / $5,522.18	Professional		$100.00	$2,370.71	$5,522.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.70 / $837.35 / $955.08	Facility		$835.70	$837.35	$955.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $611.27 / $892.66	Professional		$611.27	$611.27	$892.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $955.08 / $1,146.09 / $1,965.43	Professional		$955.08	$1,146.09	$1,965.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,072.05 / $1,250.73 / $2,715.86	Professional		$1,072.05	$1,250.73	$2,715.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,889.52 / $8,487.06 / $8,487.06	Facility		$2,889.52	$8,487.06	$8,487.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,041.83 / $11,306.84 / $11,306.84	Professional		$11,041.83	$11,306.84	$11,306.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,747.12 / $2,747.12 / $2,747.12	Professional		$2,747.12	$2,747.12	$2,747.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $431.60 / $1,432.62 / $1,812.71	Facility		$431.60	$1,432.62	$1,812.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $837.35 / $1,308.66	Professional		$611.27	$837.35	$1,308.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,372.42 / $3,372.42 / $3,372.42	Professional		$3,372.42	$3,372.42	$3,372.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $955.08 / $1,429.40 / $1,432.62	Professional		$955.08	$1,429.40	$1,432.62
United Facility/Professional Facility Modifier Low / Median / High Price $420.25 / $604.24 / $662.58	Facility		$420.25	$604.24	$662.58
United Facility/Professional Professional Modifier Low / Median / High Price $618.12 / $668.54 / $1,592.17	Professional		$618.12	$668.54	$1,592.17