Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $724.44 / $6,456.54	Facility		$38.90	$724.44	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $5,623.41	Professional		$575.44	$724.44	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $3,019.95	Facility		$549.54	$691.83	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,621.81	Professional		$724.44	$724.44	$1,621.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,570.40 / $3,467.37	Facility		$100.00	$2,570.40	$3,467.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,818.38 / $4,786.30	Professional		$1,445.44	$2,818.38	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $758.58 / $758.58	Facility		$691.83	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $758.58	Professional		$549.54	$549.54	$758.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $1,819.70	Professional		$562.34	$707.95	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $2,398.83	Professional		$851.14	$1,348.96	$2,398.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $10,964.78 / $10,964.78	Professional		$7,079.46	$10,964.78	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,318.26 / $1,819.70	Facility		$501.19	$1,318.26	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,318.26	Professional		$549.54	$549.54	$1,318.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,348.96	Professional		$562.34	$851.14	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $588.84 / $1,621.81	Facility		$100.00	$588.84	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,513.56	Professional		$549.54	$691.83	$1,513.56