Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.19 / $800.19 / $5,125.35	Facility		$800.19	$800.19	$5,125.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.42 / $800.19 / $5,125.35	Professional		$659.42	$800.19	$5,125.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.64 / $2,503.32 / $5,638.86	Facility		$607.64	$2,503.32	$5,638.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.24 / $811.44 / $1,413.11	Professional		$741.24	$811.44	$1,413.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,103.12 / $3,755.57	Facility		$97.00	$2,103.12	$3,755.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,356.98 / $5,490.21	Professional		$100.00	$2,356.98	$5,490.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.29 / $832.50 / $949.56	Facility		$830.29	$832.50	$949.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $607.73 / $857.48	Professional		$607.73	$607.73	$857.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $820.93 / $985.12 / $1,954.05	Professional		$820.93	$985.12	$1,954.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,065.84 / $1,243.49 / $2,700.14	Professional		$1,065.84	$1,243.49	$2,700.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,871.32 / $8,437.95 / $8,437.95	Facility		$2,871.32	$8,437.95	$8,437.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,077.27 / $9,295.11 / $13,323.08	Professional		$9,077.27	$9,295.11	$13,323.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,976.08 / $2,976.08 / $2,976.08	Professional		$2,976.08	$2,976.08	$2,976.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $429.10 / $1,451.75 / $1,776.41	Facility		$429.10	$1,451.75	$1,776.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $832.50 / $1,341.53	Professional		$607.73	$832.50	$1,341.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,352.90 / $3,352.90 / $3,352.90	Professional		$3,352.90	$3,352.90	$3,352.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $820.93 / $1,395.58 / $1,421.13	Professional		$820.93	$1,395.58	$1,421.13
United Facility/Professional Professional Modifier Low / Median / High Price $632.50 / $737.92 / $2,429.58	Professional		$632.50	$737.92	$2,429.58