Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.49 / $491.49 / $3,148.12	Facility		$491.49	$491.49	$3,148.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.50 / $491.49 / $3,148.12	Professional		$414.50	$491.49	$3,148.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.22 / $1,537.58 / $3,463.48	Facility		$373.22	$1,537.58	$3,463.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.00 / $488.42 / $903.73	Professional		$474.00	$488.42	$903.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,291.77 / $2,306.73	Facility		$97.00	$1,291.77	$2,306.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,447.71 / $3,372.21	Professional		$100.00	$1,447.71	$3,372.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.98 / $511.34 / $583.24	Facility		$509.98	$511.34	$583.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $373.28 / $545.12	Professional		$373.28	$373.28	$545.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $401.20 / $481.44 / $1,200.21	Professional		$401.20	$481.44	$1,200.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $654.66 / $763.77 / $1,658.47	Professional		$654.66	$763.77	$1,658.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,972.65 / $5,182.72 / $5,182.72	Facility		$1,972.65	$5,182.72	$5,182.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,237.28 / $5,237.28 / $7,143.60	Professional		$5,237.28	$5,237.28	$7,143.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,926.97 / $1,926.97 / $1,926.97	Professional		$1,926.97	$1,926.97	$1,926.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.57 / $927.44 / $1,091.09	Facility		$263.57	$927.44	$1,091.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $511.34 / $909.06	Professional		$373.28	$511.34	$909.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,059.42 / $2,059.42 / $2,059.42	Professional		$2,059.42	$2,059.42	$2,059.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $401.20 / $682.04 / $872.88	Professional		$401.20	$682.04	$872.88
United Facility/Professional Facility Modifier Low / Median / High Price $256.64 / $368.99 / $404.62	Facility		$256.64	$368.99	$404.62
United Facility/Professional Professional Modifier Low / Median / High Price $377.47 / $415.41 / $1,419.56	Professional		$377.47	$415.41	$1,419.56