Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.30 / $686.30 / $4,395.89	Facility		$686.30	$686.30	$4,395.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.30 / $686.30 / $4,395.89	Professional		$530.30	$686.30	$4,395.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.16 / $2,147.03 / $4,836.30	Facility		$521.16	$2,147.03	$4,836.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.52 / $694.89 / $1,253.50	Professional		$657.52	$694.89	$1,253.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,803.79 / $3,221.05	Facility		$97.00	$1,803.79	$3,221.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,021.54 / $4,708.85	Professional		$100.00	$2,021.54	$4,708.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $712.61 / $714.02 / $814.41	Facility		$712.61	$714.02	$814.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $521.23 / $735.44	Professional		$521.23	$521.23	$735.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $814.41 / $977.29 / $1,675.94	Professional		$814.41	$977.29	$1,675.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.15 / $1,066.51 / $2,315.84	Professional		$914.15	$1,066.51	$2,315.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,736.14 / $6,061.86 / $7,237.01	Facility		$2,736.14	$6,061.86	$7,237.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,365.12 / $10,613.88 / $10,613.88	Professional		$10,365.12	$10,613.88	$10,613.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,342.51 / $2,342.51 / $2,342.51	Professional		$2,342.51	$2,342.51	$2,342.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.03 / $1,295.04 / $1,545.72	Facility		$368.03	$1,295.04	$1,545.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $714.01 / $1,450.17	Professional		$521.23	$714.01	$1,450.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,875.70 / $2,875.70 / $2,875.70	Professional		$2,875.70	$2,875.70	$2,875.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $814.41 / $1,218.85 / $1,221.61	Professional		$814.41	$1,218.85	$1,221.61
United Facility/Professional Professional Modifier Low / Median / High Price $527.08 / $570.07 / $1,384.39	Professional		$527.08	$570.07	$1,384.39