Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.87 / $596.87 / $3,823.04	Facility		$596.87	$596.87	$3,823.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.78 / $596.87 / $3,823.04	Professional		$510.78	$596.87	$3,823.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $453.25 / $1,867.25 / $4,206.07	Facility		$453.25	$1,867.25	$4,206.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.80 / $604.33 / $924.22	Professional		$484.80	$604.33	$924.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,568.72 / $2,801.29	Facility		$97.00	$1,568.72	$2,801.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,758.10 / $4,095.21	Professional		$100.00	$1,758.10	$4,095.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $613.01 / $620.97 / $708.29	Facility		$613.01	$620.97	$708.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $453.31 / $661.98	Professional		$453.31	$453.31	$661.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $560.26 / $672.31 / $1,457.54	Professional		$560.26	$672.31	$1,457.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.02 / $927.53 / $2,014.06	Professional		$795.02	$927.53	$2,014.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,987.56 / $5,297.15 / $6,293.94	Facility		$1,987.56	$5,297.15	$6,293.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,629.67 / $6,788.79 / $9,720.45	Professional		$6,629.67	$6,788.79	$9,720.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,507.99 / $2,507.99 / $2,507.99	Professional		$2,507.99	$2,507.99	$2,507.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.07 / $1,126.28 / $1,325.04	Facility		$320.07	$1,126.28	$1,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $620.97 / $1,116.11	Professional		$453.31	$620.97	$1,116.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,500.94 / $2,500.94 / $2,500.94	Professional		$2,500.94	$2,500.94	$2,500.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $560.26 / $952.44 / $1,060.03	Professional		$560.26	$952.44	$1,060.03
United Facility/Professional Professional Modifier Low / Median / High Price $450.17 / $495.79 / $1,180.73	Professional		$450.17	$495.79	$1,180.73