Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.64 / $707.64 / $4,532.55	Facility		$707.64	$707.64	$4,532.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.91 / $707.64 / $4,532.55	Professional		$583.91	$707.64	$4,532.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.37 / $2,213.78 / $4,986.67	Facility		$537.37	$2,213.78	$4,986.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.77 / $713.17 / $1,095.74	Professional		$574.77	$713.17	$1,095.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,859.86 / $3,321.17	Facility		$97.00	$1,859.86	$3,321.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,084.38 / $4,855.24	Professional		$100.00	$2,084.38	$4,855.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.26 / $736.22 / $839.74	Facility		$734.26	$736.22	$839.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $537.44 / $784.84	Professional		$537.44	$537.44	$784.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $842.23 / $1,010.68 / $1,728.05	Professional		$842.23	$1,010.68	$1,728.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $942.57 / $1,099.67 / $2,387.84	Professional		$942.57	$1,099.67	$2,387.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,608.25 / $7,462.01 / $7,462.01	Facility		$2,608.25	$7,462.01	$7,462.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,966.95 / $10,206.18 / $10,901.40	Professional		$9,966.95	$10,206.18	$10,901.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,220.44 / $3,220.44 / $3,220.44	Professional		$3,220.44	$3,220.44	$3,220.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $379.47 / $1,335.31 / $1,593.78	Facility		$379.47	$1,335.31	$1,593.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $736.22 / $1,155.15	Professional		$537.44	$736.22	$1,155.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,965.09 / $2,965.09 / $2,965.09	Professional		$2,965.09	$2,965.09	$2,965.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $842.23 / $1,256.76 / $1,263.34	Professional		$842.23	$1,256.76	$1,263.34
United Facility/Professional Professional Modifier Low / Median / High Price $543.47 / $598.10 / $1,601.67	Professional		$543.47	$598.10	$1,601.67