Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $4,466.84	Facility		$457.09	$457.09	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $3,890.45	Professional		$363.08	$467.74	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $446.68 / $2,041.74	Facility		$346.74	$446.68	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,122.02	Professional		$467.74	$467.74	$1,122.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,778.28 / $2,398.83	Facility		$100.00	$1,778.28	$2,398.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,905.46 / $3,311.31	Professional		$1,000.00	$1,905.46	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $549.54 / $549.54	Facility		$478.63	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $549.54	Professional		$398.11	$398.11	$549.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $1,258.93	Professional		$162.18	$204.17	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,659.59	Professional		$630.96	$933.25	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,413.10 / $7,413.10	Professional		$6,025.60	$7,413.10	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $891.25 / $1,258.93	Facility		$316.23	$891.25	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $776.25	Professional		$398.11	$398.11	$776.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $933.25	Professional		$162.18	$245.47	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $380.19 / $1,047.13	Facility		$63.10	$380.19	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $1,023.29	Professional		$354.81	$446.68	$1,023.29