Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.62 / $625.62 / $4,007.29	Facility		$625.62	$625.62	$4,007.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.57 / $625.62 / $4,007.29	Professional		$515.57	$625.62	$4,007.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $475.08 / $1,957.22 / $4,408.75	Facility		$475.08	$1,957.22	$4,408.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $628.75 / $977.72	Professional		$512.86	$628.75	$977.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,644.32 / $2,936.28	Facility		$97.00	$1,644.32	$2,936.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,842.83 / $4,292.56	Professional		$100.00	$1,842.83	$4,292.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.61 / $740.83 / $742.41	Facility		$649.61	$740.83	$742.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $540.80 / $763.05	Professional		$540.80	$540.80	$763.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $742.41 / $890.89 / $1,527.78	Professional		$742.41	$890.89	$1,527.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $833.33 / $972.22 / $2,111.11	Professional		$833.33	$972.22	$2,111.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,370.17 / $6,597.23 / $6,597.23	Facility		$2,370.17	$6,597.23	$6,597.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,057.24 / $9,274.64 / $10,416.68	Professional		$9,057.24	$9,274.64	$10,416.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,287.51 / $2,287.51 / $2,287.51	Professional		$2,287.51	$2,287.51	$2,287.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.49 / $1,180.56 / $1,409.08	Facility		$335.49	$1,180.56	$1,409.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $740.83 / $1,309.09	Professional		$540.80	$740.83	$1,309.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,621.48 / $2,621.48 / $2,621.48	Professional		$2,621.48	$2,621.48	$2,621.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $742.41 / $1,111.10 / $1,113.61	Professional		$742.41	$1,111.10	$1,113.61
United Facility/Professional Professional Modifier Low / Median / High Price $471.86 / $519.67 / $1,343.89	Professional		$471.86	$519.67	$1,343.89