Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.81 / $824.81 / $4,931.74	Facility		$824.81	$824.81	$4,931.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.71 / $824.81 / $4,931.74	Professional		$679.71	$824.81	$4,931.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $626.34 / $2,445.11 / $5,425.80	Facility		$626.34	$2,445.11	$5,425.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.94 / $829.97 / $1,480.51	Professional		$669.94	$829.97	$1,480.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,023.64 / $3,613.64	Facility		$97.00	$2,023.64	$3,613.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,267.94 / $5,282.80	Professional		$100.00	$2,267.94	$5,282.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $798.92 / $888.38 / $913.67	Facility		$798.92	$888.38	$913.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $648.52 / $947.05	Professional		$648.52	$648.52	$947.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $415.52 / $498.62 / $1,880.22	Professional		$415.52	$498.62	$1,880.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,025.57 / $1,196.50 / $2,598.12	Professional		$1,025.57	$1,196.50	$2,598.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,787.80 / $8,119.13 / $8,119.13	Facility		$2,787.80	$8,119.13	$8,119.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,204.59 / $8,204.59 / $11,854.58	Professional		$8,204.59	$8,204.59	$11,854.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,815.26 / $2,815.26 / $2,815.26	Professional		$2,815.26	$2,815.26	$2,815.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.31 / $1,391.44 / $1,709.29	Facility		$442.31	$1,391.44	$1,709.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $888.38 / $1,427.62	Professional		$648.52	$888.38	$1,427.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,226.23 / $3,226.23 / $3,226.23	Professional		$3,226.23	$3,226.23	$3,226.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $415.52 / $706.38 / $1,367.43	Professional		$415.52	$706.38	$1,367.43
United Facility/Professional Professional Modifier Low / Median / High Price $622.09 / $685.12 / $1,587.20	Professional		$622.09	$685.12	$1,587.20