Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.46 / $685.46 / $4,390.52	Facility		$685.46	$685.46	$4,390.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.87 / $685.46 / $4,390.52	Professional		$564.87	$685.46	$4,390.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.52 / $2,144.39 / $4,830.35	Facility		$520.52	$2,144.39	$4,830.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.66 / $705.45 / $1,213.73	Professional		$636.66	$705.45	$1,213.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,801.57 / $3,217.09	Facility		$97.00	$1,801.57	$3,217.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,019.06 / $4,703.07	Professional		$100.00	$2,019.06	$4,703.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.74 / $713.15 / $813.42	Facility		$711.74	$713.15	$813.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $520.60 / $760.25	Professional		$520.60	$520.60	$760.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $753.20 / $903.84 / $1,673.88	Professional		$753.20	$903.84	$1,673.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.03 / $1,065.20 / $2,313.00	Professional		$913.03	$1,065.20	$2,313.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,477.81 / $7,228.12 / $7,228.12	Facility		$2,477.81	$7,228.12	$7,228.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,833.15 / $8,021.16 / $10,990.05	Professional		$7,833.15	$8,021.16	$10,990.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,365.39 / $2,365.39 / $2,365.39	Professional		$2,365.39	$2,365.39	$2,365.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.58 / $1,305.08 / $1,521.71	Facility		$367.58	$1,305.08	$1,521.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $713.14 / $1,437.74	Professional		$520.60	$713.14	$1,437.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,872.18 / $2,872.18 / $2,872.18	Professional		$2,872.18	$2,872.18	$2,872.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $753.20 / $1,217.36 / $1,217.36	Professional		$753.20	$1,217.36	$1,217.36
United Facility/Professional Professional Modifier Low / Median / High Price $526.42 / $569.38 / $1,521.71	Professional		$526.42	$569.38	$1,521.71