Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.46 / $988.46 / $5,188.07	Facility		$988.46	$988.46	$5,188.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.65 / $988.46 / $5,188.07	Professional		$785.65	$988.46	$5,188.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $750.62 / $2,728.13 / $5,707.80	Facility		$750.62	$2,728.13	$5,707.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $898.74 / $1,002.36 / $1,713.36	Professional		$898.74	$1,002.36	$1,713.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,128.83 / $3,801.49	Facility		$97.00	$2,128.83	$3,801.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,385.82 / $5,557.39	Professional		$100.00	$2,385.82	$5,557.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,028.38 / $1,028.38 / $1,428.46	Facility		$1,028.38	$1,028.38	$1,428.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.72 / $750.72 / $1,166.18	Professional		$750.72	$750.72	$1,166.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $961.18 / $1,153.42 / $1,977.94	Professional		$961.18	$1,153.42	$1,977.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,078.88 / $1,258.69 / $2,733.16	Professional		$1,078.88	$1,258.69	$2,733.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,095.10 / $8,579.00 / $8,579.00	Facility		$3,095.10	$8,579.00	$8,579.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,275.29 / $9,275.29 / $13,485.98	Professional		$9,275.29	$9,275.29	$13,485.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,796.80 / $3,796.80 / $3,796.80	Professional		$3,796.80	$3,796.80	$3,796.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $530.05 / $1,621.57 / $1,852.10	Facility		$530.05	$1,621.57	$1,852.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $750.72 / $1,028.38 / $1,711.49	Professional		$750.72	$1,028.38	$1,711.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,393.92 / $3,393.92 / $3,393.92	Professional		$3,393.92	$3,393.92	$3,393.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $961.18 / $1,438.50 / $1,441.77	Professional		$961.18	$1,438.50	$1,441.77
United Facility/Professional Professional Modifier Low / Median / High Price $759.14 / $821.06 / $1,739.87	Professional		$759.14	$821.06	$1,739.87