Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.08 / $433.08 / $2,773.95	Facility		$433.08	$433.08	$2,773.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.83 / $433.08 / $2,684.88	Professional		$370.83	$433.08	$2,684.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.87 / $1,354.85 / $3,051.87	Facility		$328.87	$1,354.85	$3,051.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.48 / $463.84 / $696.79	Professional		$365.48	$463.84	$696.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,138.24 / $2,032.58	Facility		$97.00	$1,138.24	$2,032.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,275.65 / $2,971.43	Professional		$100.00	$1,275.65	$2,971.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.37 / $450.57 / $513.91	Facility		$449.37	$450.57	$513.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $328.92 / $480.33	Professional		$328.92	$328.92	$480.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $513.91 / $616.70 / $1,057.57	Professional		$513.91	$616.70	$1,057.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $576.86 / $673.00 / $1,461.37	Professional		$576.86	$673.00	$1,461.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,608.63 / $4,566.79 / $4,566.79	Facility		$1,608.63	$4,566.79	$4,566.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,147.14 / $6,294.65 / $7,210.73	Professional		$6,147.14	$6,294.65	$7,210.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,511.72 / $2,511.72 / $2,511.72	Professional		$2,511.72	$2,511.72	$2,511.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.24 / $817.22 / $975.40	Facility		$232.24	$817.22	$975.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $450.57 / $819.78	Professional		$328.92	$450.57	$819.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,814.66 / $1,814.66 / $1,814.66	Professional		$1,814.66	$1,814.66	$1,814.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $513.91 / $769.14 / $770.88	Professional		$513.91	$769.14	$770.88
United Facility/Professional Professional Modifier Low / Median / High Price $332.60 / $366.04 / $912.45	Professional		$332.60	$366.04	$912.45