Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.18 / $489.18 / $2,994.64	Facility		$489.18	$489.18	$2,994.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.18 / $489.18 / $2,994.64	Professional		$389.18	$489.18	$2,994.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.47 / $1,462.65 / $3,294.70	Facility		$371.47	$1,462.65	$3,294.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.25 / $496.06 / $798.65	Professional		$430.25	$496.06	$798.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,228.80 / $2,194.28	Facility		$97.00	$1,228.80	$2,194.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,377.15 / $3,207.84	Professional		$100.00	$1,377.15	$3,207.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.51 / $579.51 / $865.09	Facility		$579.51	$579.51	$865.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $423.04 / $810.24	Professional		$423.04	$423.04	$810.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.78 / $932.14 / $1,141.72	Professional		$776.78	$932.14	$1,141.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.76 / $726.55 / $1,577.65	Professional		$622.76	$726.55	$1,577.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,556.84 / $4,930.17 / $4,930.17	Facility		$1,556.84	$4,930.17	$4,930.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,982.06 / $4,982.06 / $7,784.18	Professional		$4,982.06	$4,982.06	$7,784.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,719.08 / $1,719.08 / $1,719.08	Professional		$1,719.08	$1,719.08	$1,719.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.32 / $917.61 / $1,077.15	Facility		$262.32	$917.61	$1,077.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $579.51 / $845.62	Professional		$423.04	$579.51	$845.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,959.03 / $1,959.03 / $1,959.03	Professional		$1,959.03	$1,959.03	$1,959.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.78 / $830.34 / $1,009.81	Professional		$776.78	$830.34	$1,009.81
United Facility/Professional Professional Modifier Low / Median / High Price $375.69 / $418.37 / $1,004.28	Professional		$375.69	$418.37	$1,004.28