Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.81 / $765.81 / $4,905.12	Facility		$765.81	$765.81	$4,905.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.89 / $765.81 / $4,905.12	Professional		$631.89	$765.81	$4,905.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $581.54 / $2,395.75 / $5,396.56	Facility		$581.54	$2,395.75	$5,396.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.99 / $775.39 / $1,395.47	Professional		$731.99	$775.39	$1,395.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,012.75 / $3,594.19	Facility		$97.00	$2,012.75	$3,594.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,255.71 / $5,254.31	Professional		$100.00	$2,255.71	$5,254.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.17 / $1,057.34 / $1,057.34	Facility		$795.17	$1,057.34	$1,057.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $771.87 / $1,089.07	Professional		$771.87	$771.87	$1,089.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $820.70 / $984.84 / $1,870.09	Professional		$820.70	$984.84	$1,870.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,020.05 / $1,190.06 / $2,584.12	Professional		$1,020.05	$1,190.06	$2,584.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,046.04 / $6,718.33 / $8,075.38	Facility		$3,046.04	$6,718.33	$8,075.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,710.91 / $9,943.96 / $9,943.96	Professional		$9,710.91	$9,943.96	$9,943.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,991.46 / $2,991.46 / $2,991.46	Professional		$2,991.46	$2,991.46	$2,991.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.67 / $1,459.25 / $1,724.80	Facility		$410.67	$1,459.25	$1,724.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $1,057.34 / $1,301.23	Professional		$771.87	$1,057.34	$1,301.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,208.82 / $3,208.82 / $3,208.82	Professional		$3,208.82	$3,208.82	$3,208.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $820.70 / $1,360.06 / $1,360.06	Professional		$820.70	$1,360.06	$1,360.06
United Facility/Professional Professional Modifier Low / Median / High Price $577.59 / $636.92 / $1,700.08	Professional		$577.59	$636.92	$1,700.08