Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.98 / $503.98 / $3,228.14	Facility		$503.98	$503.98	$3,228.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.76 / $503.98 / $3,228.14	Professional		$390.76	$503.98	$3,228.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.71 / $1,576.68 / $3,551.57	Facility		$382.71	$1,576.68	$3,551.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.00 / $505.33 / $861.75	Professional		$452.00	$505.33	$861.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,324.62 / $2,365.39	Facility		$97.00	$1,324.62	$2,365.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,484.53 / $3,457.94	Professional		$100.00	$1,484.53	$3,457.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.30 / $524.34 / $598.05	Facility		$523.30	$524.34	$598.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $382.77 / $558.97	Professional		$382.77	$382.77	$558.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $437.48 / $524.98 / $1,230.74	Professional		$437.48	$524.98	$1,230.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $671.31 / $783.20 / $1,700.65	Professional		$671.31	$783.20	$1,700.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,692.87 / $5,314.54 / $5,314.54	Facility		$1,692.87	$5,314.54	$5,314.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,538.31 / $5,538.31 / $8,391.37	Professional		$5,538.31	$5,538.31	$8,391.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,726.07 / $1,726.07 / $1,726.07	Professional		$1,726.07	$1,726.07	$1,726.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.27 / $951.02 / $1,118.84	Facility		$270.27	$951.02	$1,118.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $524.34 / $1,064.94	Professional		$382.77	$524.34	$1,064.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,111.78 / $2,111.78 / $2,111.78	Professional		$2,111.78	$2,111.78	$2,111.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $437.48 / $743.72 / $895.08	Professional		$437.48	$743.72	$895.08
United Facility/Professional Professional Modifier Low / Median / High Price $387.06 / $419.32 / $1,118.84	Professional		$387.06	$419.32	$1,118.84