Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.41 / $967.41 / $5,304.62	Facility		$967.41	$967.41	$5,304.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.52 / $967.41 / $5,304.62	Professional		$747.52	$967.41	$5,304.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.63 / $2,670.01 / $5,836.08	Facility		$734.63	$2,670.01	$5,836.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $785.76 / $943.22 / $1,497.97	Professional		$785.76	$943.22	$1,497.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,176.67 / $3,886.91	Facility		$97.00	$2,176.67	$3,886.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,439.42 / $5,682.25	Professional		$100.00	$2,439.42	$5,682.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $859.93 / $1,006.48 / $1,006.48	Facility		$859.93	$1,006.48	$1,006.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $734.73 / $1,867.50	Professional		$734.73	$734.73	$1,867.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $811.87 / $974.24 / $2,022.39	Professional		$811.87	$974.24	$2,022.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,103.11 / $1,286.98 / $2,794.58	Professional		$1,103.11	$1,286.98	$2,794.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,269.76 / $8,733.07 / $8,733.07	Facility		$3,269.76	$8,733.07	$8,733.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,156.85 / $10,156.85 / $15,870.08	Professional		$10,156.85	$10,156.85	$15,870.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,301.97 / $3,301.97 / $3,301.97	Professional		$3,301.97	$3,301.97	$3,301.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $518.77 / $1,610.72 / $1,863.39	Facility		$518.77	$1,610.72	$1,863.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $734.73 / $1,830.06	Professional		$734.73	$734.73	$1,830.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,470.17 / $3,470.17 / $3,470.17	Professional		$3,470.17	$3,470.17	$3,470.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $811.87 / $1,380.18 / $1,470.83	Professional		$811.87	$1,380.18	$1,470.83
United Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $820.00 / $820.00	Facility		$820.00	$820.00	$820.00
United Facility/Professional Professional Modifier Low / Median / High Price $729.64 / $803.57 / $1,838.54	Professional		$729.64	$803.57	$1,838.54