Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.74 / $862.74 / $5,526.01	Facility		$862.74	$862.74	$5,526.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.50 / $862.74 / $5,526.01	Professional		$704.50	$862.74	$5,526.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.14 / $2,699.00 / $6,079.64	Facility		$655.14	$2,699.00	$6,079.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.68 / $874.87 / $1,480.68	Professional		$776.68	$874.87	$1,480.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,267.51 / $4,049.13	Facility		$97.00	$2,267.51	$4,049.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,541.23 / $5,919.37	Professional		$100.00	$2,541.23	$5,919.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.81 / $897.58 / $1,023.78	Facility		$895.81	$897.58	$1,023.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $655.23 / $1,845.75	Professional		$655.23	$655.23	$1,845.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $394.20 / $473.04 / $2,106.80	Professional		$394.20	$473.04	$2,106.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,149.16 / $1,340.69 / $2,911.21	Professional		$1,149.16	$1,340.69	$2,911.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,807.38 / $9,097.53 / $9,097.53	Facility		$2,807.38	$9,097.53	$9,097.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,193.29 / $9,193.29 / $10,773.38	Professional		$9,193.29	$9,193.29	$10,773.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,111.96 / $3,111.96 / $3,111.96	Professional		$3,111.96	$3,111.96	$3,111.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $462.65 / $1,553.26 / $1,915.27	Facility		$462.65	$1,553.26	$1,915.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $655.23 / $1,725.48	Professional		$655.23	$655.23	$1,725.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,614.99 / $3,614.99 / $3,614.99	Professional		$3,614.99	$3,614.99	$3,614.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $394.20 / $670.14 / $1,532.22	Professional		$394.20	$670.14	$1,532.22
United Facility/Professional Facility Modifier Low / Median / High Price $957.27 / $957.27 / $957.27	Facility		$957.27	$957.27	$957.27
United Facility/Professional Professional Modifier Low / Median / High Price $662.59 / $733.21 / $2,145.10	Professional		$662.59	$733.21	$2,145.10