Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.04 / $580.04 / $3,044.44	Facility		$580.04	$580.04	$3,044.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.94 / $580.03 / $850.46	Professional		$502.94	$580.03	$850.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.47 / $1,600.89 / $3,349.39	Facility		$440.47	$1,600.89	$3,349.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.00 / $527.38 / $1,005.41	Professional		$445.00	$527.38	$1,005.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,249.22 / $2,230.73	Facility		$97.00	$1,249.22	$2,230.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,400.02 / $3,261.15	Professional		$100.00	$1,400.02	$3,261.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.15 / $702.03 / $702.03	Facility		$488.15	$702.03	$702.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $512.48 / $748.40	Professional		$512.48	$512.48	$748.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $259.70 / $311.64 / $1,160.68	Professional		$259.70	$311.64	$1,160.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.10 / $738.61 / $1,603.84	Professional		$633.10	$738.61	$1,603.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,816.23 / $5,034.28 / $5,034.28	Facility		$1,816.23	$5,034.28	$5,034.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,442.94 / $5,442.94 / $7,913.70	Professional		$5,442.94	$5,442.94	$7,913.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,228.02 / $2,228.02 / $2,228.02	Professional		$2,228.02	$2,228.02	$2,228.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.04 / $916.54 / $1,086.83	Facility		$311.04	$916.54	$1,086.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $702.03 / $1,004.32	Professional		$512.48	$702.03	$1,004.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,991.60 / $1,991.60 / $1,991.60	Professional		$1,991.60	$1,991.60	$1,991.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $259.70 / $441.49 / $844.13	Professional		$259.70	$441.49	$844.13
United Facility/Professional Professional Modifier Low / Median / High Price $438.68 / $481.81 / $1,003.96	Professional		$438.68	$481.81	$1,003.96