Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.43 / $695.43 / $3,650.06	Facility		$695.43	$695.43	$3,650.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.74 / $695.43 / $3,650.06	Professional		$552.74	$695.43	$3,650.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.95 / $2,020.70 / $4,015.71	Facility		$672.95	$2,020.70	$4,015.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.85 / $752.32 / $1,205.41	Professional		$583.85	$752.32	$1,205.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,497.74 / $2,674.54	Facility		$97.00	$1,497.74	$2,674.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,678.53 / $3,909.88	Professional		$100.00	$1,678.53	$3,909.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $1,004.99	Facility		$723.52	$723.52	$1,004.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $528.16 / $745.23	Professional		$528.16	$528.16	$745.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.82 / $911.78 / $1,391.58	Professional		$759.82	$911.78	$1,391.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.04 / $885.55 / $1,922.91	Professional		$759.04	$885.55	$1,922.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,177.52 / $6,035.75 / $6,035.75	Facility		$2,177.52	$6,035.75	$6,035.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,525.74 / $6,525.74 / $9,488.03	Professional		$6,525.74	$6,525.74	$9,488.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,912.99 / $3,912.99 / $3,912.99	Professional		$3,912.99	$3,912.99	$3,912.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $740.21 / $1,264.33 / $1,303.06	Facility		$740.21	$1,264.33	$1,303.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $723.52 / $1,204.10	Professional		$528.16	$723.52	$1,204.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,387.79 / $2,387.79 / $2,387.79	Professional		$2,387.79	$2,387.79	$2,387.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $759.82 / $1,012.06 / $1,138.56	Professional		$759.82	$1,012.06	$1,138.56
United Facility/Professional Professional Modifier Low / Median / High Price $534.09 / $577.66 / $1,224.08	Professional		$534.09	$577.66	$1,224.08