Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.15 / $622.15 / $3,985.02	Facility		$622.15	$622.15	$3,985.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.34 / $622.15 / $3,985.02	Professional		$507.34	$622.15	$3,985.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.45 / $1,946.34 / $4,384.25	Facility		$472.45	$1,946.34	$4,384.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.74 / $656.91 / $1,053.75	Professional		$552.74	$656.91	$1,053.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,635.17 / $2,919.95	Facility		$97.00	$1,635.17	$2,919.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,832.58 / $4,268.71	Professional		$100.00	$1,832.58	$4,268.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.55 / $732.96 / $738.29	Facility		$645.55	$732.96	$738.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $535.05 / $1,313.63	Professional		$535.05	$535.05	$1,313.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $655.72 / $786.86 / $1,519.29	Professional		$655.72	$786.86	$1,519.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $828.70 / $966.82 / $2,099.38	Professional		$828.70	$966.82	$2,099.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,047.06 / $6,560.56 / $6,560.56	Facility		$2,047.06	$6,560.56	$6,560.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,629.62 / $6,629.62 / $8,743.73	Professional		$6,629.62	$6,629.62	$8,743.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,609.28 / $2,609.28 / $2,609.28	Professional		$2,609.28	$2,609.28	$2,609.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.63 / $1,173.99 / $1,381.17	Facility		$333.63	$1,173.99	$1,381.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $535.05 / $1,173.99	Professional		$535.05	$535.05	$1,173.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,606.91 / $2,606.91 / $2,606.91	Professional		$2,606.91	$2,606.91	$2,606.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $655.72 / $1,104.94 / $1,104.94	Professional		$655.72	$1,104.94	$1,104.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,173.99 / $1,381.17 / $1,381.17	Facility		$1,173.99	$1,381.17	$1,381.17
United Facility/Professional Professional Modifier Low / Median / High Price $469.24 / $516.79 / $1,310.81	Professional		$469.24	$516.79	$1,310.81