Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.46 / $463.46 / $2,752.79	Facility		$463.46	$463.46	$2,752.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.12 / $463.46 / $2,752.79	Professional		$358.12	$463.46	$2,752.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.95 / $1,373.94 / $3,028.57	Facility		$351.95	$1,373.94	$3,028.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.44 / $469.98 / $798.01	Professional		$376.44	$469.98	$798.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,129.56 / $2,017.07	Facility		$97.00	$1,129.56	$2,017.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,265.92 / $2,948.76	Professional		$100.00	$1,265.92	$2,948.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.95 / $499.17 / $510.01	Facility		$445.95	$499.17	$510.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $364.39 / $514.15	Professional		$364.39	$364.39	$514.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $200.48 / $240.58 / $1,049.50	Professional		$200.48	$240.58	$1,049.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.45 / $667.86 / $1,478.84	Professional		$572.45	$667.86	$1,478.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,566.45 / $4,531.93 / $4,531.93	Facility		$1,566.45	$4,531.93	$4,531.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,092.91 / $5,092.91 / $5,787.38	Professional		$5,092.91	$5,092.91	$5,787.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,581.88 / $1,581.88 / $1,581.88	Professional		$1,581.88	$1,581.88	$1,581.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.53 / $806.23 / $966.99	Facility		$248.53	$806.23	$966.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $499.17 / $951.36	Professional		$364.39	$499.17	$951.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,800.81 / $1,800.81 / $1,800.81	Professional		$1,800.81	$1,800.81	$1,800.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $200.48 / $340.82 / $763.27	Professional		$200.48	$340.82	$763.27
United Facility/Professional Professional Modifier Low / Median / High Price $355.93 / $384.97 / $861.53	Professional		$355.93	$384.97	$861.53