Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $6,309.57	Facility		$660.69	$660.69	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $5,623.41	Professional		$524.81	$676.08	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $630.96 / $2,884.03	Facility		$501.19	$630.96	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,584.89	Professional		$660.69	$660.69	$1,584.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,570.40 / $3,388.44	Facility		$100.00	$2,570.40	$3,388.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $4,677.35	Professional		$1,412.54	$2,754.23	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $724.44	Facility		$676.08	$676.08	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $676.08	Professional		$501.19	$501.19	$676.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,778.28	Professional		$645.65	$812.83	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $2,344.23	Professional		$870.96	$1,348.96	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $10,964.78 / $10,964.78	Professional		$6,918.31	$10,964.78	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,258.93 / $1,778.28	Facility		$446.68	$1,258.93	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,122.02	Professional		$501.19	$501.19	$1,122.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,348.96	Professional		$645.65	$954.99	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $537.03 / $1,479.11	Facility		$89.13	$537.03	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $1,479.11	Professional		$501.19	$630.96	$1,479.11