Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.38 / $754.38 / $3,959.48	Facility		$754.38	$754.38	$3,959.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.60 / $754.38 / $3,959.48	Professional		$599.60	$754.38	$3,959.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.86 / $2,082.06 / $4,356.12	Facility		$572.86	$2,082.06	$4,356.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.90 / $735.52 / $1,307.60	Professional		$685.90	$735.52	$1,307.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,624.70 / $2,901.25	Facility		$97.00	$1,624.70	$2,901.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,820.83 / $4,241.33	Professional		$100.00	$1,820.83	$4,241.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $907.46 / $1,090.18	Facility		$907.46	$907.46	$1,090.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $662.45 / $1,124.17	Professional		$662.45	$662.45	$1,124.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $733.55 / $880.26 / $1,509.54	Professional		$733.55	$880.26	$1,509.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.39 / $960.62 / $2,085.91	Professional		$823.39	$960.62	$2,085.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,362.13 / $6,547.41 / $6,547.41	Facility		$2,362.13	$6,547.41	$6,547.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,078.87 / $7,078.87 / $10,292.33	Professional		$7,078.87	$7,078.87	$10,292.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,897.67 / $2,897.67 / $2,897.67	Professional		$2,897.67	$2,897.67	$2,897.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.54 / $1,237.56 / $1,413.50	Facility		$404.54	$1,237.56	$1,413.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $907.46 / $1,249.89	Professional		$662.45	$907.46	$1,249.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,590.19 / $2,590.19 / $2,590.19	Professional		$2,590.19	$2,590.19	$2,590.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $733.55 / $1,097.84 / $1,100.33	Professional		$733.55	$1,097.84	$1,100.33
United Facility/Professional Professional Modifier Low / Median / High Price $579.37 / $637.61 / $1,399.17	Professional		$579.37	$637.61	$1,399.17