Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.06 / $726.06 / $4,650.60	Facility		$726.06	$726.06	$4,650.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.79 / $726.06 / $4,650.60	Professional		$571.79	$726.06	$4,650.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.36 / $2,271.42 / $5,116.53	Facility		$551.36	$2,271.42	$5,116.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.94 / $736.27 / $1,397.27	Professional		$732.94	$736.27	$1,397.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,908.29 / $3,407.66	Facility		$97.00	$1,908.29	$3,407.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,138.66 / $4,981.66	Professional		$100.00	$2,138.66	$4,981.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.38 / $755.39 / $861.60	Facility		$753.38	$755.39	$861.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $551.42 / $778.05	Professional		$551.42	$551.42	$778.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $518.04 / $621.66 / $1,773.05	Professional		$518.04	$621.66	$1,773.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $967.12 / $1,128.30 / $2,450.03	Professional		$967.12	$1,128.30	$2,450.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,531.10 / $7,656.34 / $7,656.34	Facility		$2,531.10	$7,656.34	$7,656.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,001.72 / $8,193.78 / $11,043.45	Professional		$8,001.72	$8,193.78	$11,043.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,525.76 / $2,525.76 / $2,525.76	Professional		$2,525.76	$2,525.76	$2,525.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.35 / $1,294.21 / $1,611.86	Facility		$389.35	$1,294.21	$1,611.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $755.38 / $1,406.81	Professional		$551.42	$755.38	$1,406.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,042.32 / $3,042.32 / $3,042.32	Professional		$3,042.32	$3,042.32	$3,042.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $518.04 / $880.69 / $1,289.49	Professional		$518.04	$880.69	$1,289.49
United Facility/Professional Professional Modifier Low / Median / High Price $557.62 / $613.67 / $1,495.38	Professional		$557.62	$613.67	$1,495.38