Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.24 / $810.24 / $4,453.05	Facility		$810.24	$810.24	$4,453.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.22 / $810.24 / $4,453.05	Professional		$706.22	$810.24	$4,453.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.28 / $2,236.23 / $4,899.18	Facility		$615.28	$2,236.23	$4,899.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.53 / $789.98 / $1,430.78	Professional		$750.53	$789.98	$1,430.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,827.23 / $3,262.90	Facility		$97.00	$1,827.23	$3,262.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,047.83 / $4,770.06	Professional		$100.00	$2,047.83	$4,770.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $721.39 / $842.96 / $842.96	Facility		$721.39	$842.96	$842.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $615.36 / $868.25	Professional		$615.36	$615.36	$868.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $660.98 / $793.18 / $1,697.73	Professional		$660.98	$793.18	$1,697.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.03 / $1,080.36 / $2,345.94	Professional		$926.03	$1,080.36	$2,345.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,123.09 / $7,331.10 / $7,331.10	Facility		$3,123.09	$7,331.10	$7,331.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,633.90 / $8,633.90 / $13,490.48	Professional		$8,633.90	$8,633.90	$13,490.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,765.55 / $2,765.55 / $2,765.55	Professional		$2,765.55	$2,765.55	$2,765.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.49 / $1,335.35 / $1,564.25	Facility		$434.49	$1,335.35	$1,564.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $842.96 / $1,311.88	Professional		$615.36	$842.96	$1,311.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,913.09 / $2,913.09 / $2,913.09	Professional		$2,913.09	$2,913.09	$2,913.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $660.98 / $1,123.67 / $1,234.71	Professional		$660.98	$1,123.67	$1,234.71
United Facility/Professional Professional Modifier Low / Median / High Price $611.10 / $673.03 / $1,543.39	Professional		$611.10	$673.03	$1,543.39