Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $4,168.69	Facility		$524.81	$524.81	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $2,691.53	Professional		$416.87	$524.81	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $512.86 / $2,187.76	Facility		$398.11	$512.86	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,071.52	Professional		$501.19	$501.19	$1,071.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,698.24 / $2,238.72	Facility		$100.00	$1,698.24	$2,238.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $3,090.30	Professional		$933.25	$1,819.70	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $549.54	Professional		$398.11	$398.11	$549.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,174.90	Professional		$512.86	$645.65	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,548.82	Professional		$588.84	$891.25	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,244.36 / $7,244.36	Professional		$5,011.87	$7,244.36	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $977.24 / $1,230.27	Facility		$281.84	$977.24	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $933.25	Professional		$398.11	$398.11	$933.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $891.25	Professional		$512.86	$776.25	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $436.52 / $1,202.26	Facility		$72.44	$436.52	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $977.24	Professional		$407.38	$478.63	$977.24