Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.06 / $460.06 / $2,946.76	Facility		$460.06	$460.06	$2,946.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.95 / $460.06 / $2,946.76	Professional		$402.95	$460.06	$2,946.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.36 / $1,439.24 / $3,241.98	Facility		$349.36	$1,439.24	$3,241.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.29 / $466.53 / $883.21	Professional		$463.29	$466.53	$883.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,209.15 / $2,159.19	Facility		$97.00	$1,209.15	$2,159.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,355.12 / $3,156.54	Professional		$100.00	$1,355.12	$3,156.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.69 / $550.80 / $550.80	Facility		$477.69	$550.80	$550.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $402.09 / $567.33	Professional		$402.09	$402.09	$567.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $194.88 / $1,123.45	Professional		$162.40	$194.88	$1,123.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.79 / $714.92 / $1,552.41	Professional		$612.79	$714.92	$1,552.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,871.05 / $4,851.27 / $4,851.27	Facility		$1,871.05	$4,851.27	$4,851.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,915.12 / $6,057.09 / $7,370.85	Professional		$5,915.12	$6,057.09	$7,370.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,932.63 / $1,932.63 / $1,932.63	Professional		$1,932.63	$1,932.63	$1,932.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.70 / $887.13 / $1,036.15	Facility		$246.70	$887.13	$1,036.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $550.80 / $771.05	Professional		$402.09	$550.80	$771.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,927.70 / $1,927.70 / $1,927.70	Professional		$1,927.70	$1,927.70	$1,927.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $276.08 / $817.06	Professional		$162.40	$276.08	$817.06
United Facility/Professional Professional Modifier Low / Median / High Price $346.98 / $388.84 / $928.02	Professional		$346.98	$388.84	$928.02