Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $6,606.93	Facility		$691.83	$691.83	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $5,888.44	Professional		$537.03	$691.83	$5,888.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $660.69 / $3,019.95	Facility		$524.81	$660.69	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,659.59	Professional		$707.95	$707.95	$1,659.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,754.23 / $3,548.13	Facility		$100.00	$2,754.23	$3,548.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,884.03 / $4,897.79	Professional		$1,479.11	$2,884.03	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $758.58	Facility		$707.95	$707.95	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $707.95	Professional		$524.81	$524.81	$707.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,862.09	Professional		$758.58	$933.25	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,454.71	Professional		$933.25	$1,412.54	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $10,964.78 / $10,964.78	Professional		$7,943.28	$10,964.78	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,318.26 / $1,862.09	Facility		$467.74	$1,318.26	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,445.44	Professional		$524.81	$524.81	$1,445.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,412.54	Professional		$758.58	$1,122.02	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $562.34 / $1,548.82	Facility		$93.33	$562.34	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,513.56	Professional		$524.81	$660.69	$1,513.56