Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.45 / $583.45 / $3,062.31	Facility		$583.45	$583.45	$3,062.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.74 / $583.45 / $1,100.50	Professional		$463.74	$583.45	$1,100.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.11 / $1,610.48 / $3,369.17	Facility		$443.11	$1,610.48	$3,369.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.48 / $635.91 / $1,011.29	Professional		$530.48	$635.91	$1,011.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,256.58 / $2,243.89	Facility		$97.00	$1,256.58	$2,243.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,408.27 / $3,280.33	Professional		$100.00	$1,408.27	$3,280.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.01 / $607.01 / $843.17	Facility		$607.01	$607.01	$843.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.12 / $443.12 / $865.03	Professional		$443.12	$443.12	$865.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $567.35 / $680.82 / $1,167.53	Professional		$567.35	$680.82	$1,167.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.83 / $742.97 / $1,613.31	Professional		$636.83	$742.97	$1,613.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,826.85 / $5,063.85 / $5,063.85	Facility		$1,826.85	$5,063.85	$5,063.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,474.86 / $5,474.86 / $7,960.43	Professional		$5,474.86	$5,474.86	$7,960.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,241.03 / $2,241.03 / $2,241.03	Professional		$2,241.03	$2,241.03	$2,241.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.88 / $957.17 / $1,093.19	Facility		$312.88	$957.17	$1,093.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $443.12 / $607.01 / $961.77	Professional		$443.12	$607.01	$961.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,003.29 / $2,003.29 / $2,003.29	Professional		$2,003.29	$2,003.29	$2,003.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $567.35 / $849.11 / $851.03	Professional		$567.35	$849.11	$851.03
United Facility/Professional Professional Modifier Low / Median / High Price $352.09 / $484.64 / $1,061.39	Professional		$352.09	$484.64	$1,061.39