Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.95 / $722.95 / $4,282.54	Facility		$722.95	$722.95	$4,282.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.83 / $722.95 / $4,282.54	Professional		$607.83	$722.95	$4,282.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.99 / $2,142.42 / $4,711.58	Facility		$548.99	$2,142.42	$4,711.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.73 / $722.95 / $1,288.19	Professional		$675.73	$722.95	$1,288.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,757.26 / $3,137.97	Facility		$97.00	$1,757.26	$3,137.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,969.40 / $4,587.39	Professional		$100.00	$1,969.40	$4,587.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.23 / $752.15 / $793.41	Facility		$694.23	$752.15	$793.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $549.07 / $1,605.75	Professional		$549.07	$549.07	$1,605.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $565.16 / $678.19 / $1,632.72	Professional		$565.16	$678.19	$1,632.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $890.57 / $1,039.00 / $2,256.12	Professional		$890.57	$1,039.00	$2,256.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,811.85 / $7,050.38 / $7,050.38	Facility		$2,811.85	$7,050.38	$7,050.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,124.59 / $7,124.59 / $10,956.45	Professional		$7,124.59	$7,124.59	$10,956.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,684.96 / $2,684.96 / $2,684.96	Professional		$2,684.96	$2,684.96	$2,684.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.68 / $1,289.29 / $1,484.29	Facility		$387.68	$1,289.29	$1,484.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $549.07 / $1,337.21	Professional		$549.07	$549.07	$1,337.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,801.54 / $2,801.54 / $2,801.54	Professional		$2,801.54	$2,801.54	$2,801.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $565.16 / $960.77 / $1,187.43	Professional		$565.16	$960.77	$1,187.43
United Facility/Professional Professional Modifier Low / Median / High Price $555.23 / $611.04 / $1,497.53	Professional		$555.23	$611.04	$1,497.53