Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.10 / $454.10 / $2,908.59	Facility		$454.10	$454.10	$2,908.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.04 / $454.10 / $2,908.59	Professional		$360.04	$454.10	$2,908.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.84 / $1,420.60 / $3,199.98	Facility		$344.84	$1,420.60	$3,199.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.49 / $460.49 / $899.98	Professional		$460.49	$460.49	$899.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,193.50 / $2,131.25	Facility		$97.00	$1,193.50	$2,131.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,337.57 / $3,115.66	Professional		$100.00	$1,337.57	$3,115.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.51 / $626.01 / $626.01	Facility		$471.51	$626.01	$626.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $456.99 / $644.79	Professional		$456.99	$456.99	$644.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $439.24 / $527.09 / $1,108.90	Professional		$439.24	$527.09	$1,108.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.85 / $705.66 / $1,532.30	Professional		$604.85	$705.66	$1,532.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,644.20 / $4,788.43 / $4,788.43	Facility		$1,644.20	$4,788.43	$4,788.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,197.82 / $5,322.56 / $6,686.78	Professional		$5,197.82	$5,322.56	$6,686.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,590.39 / $1,590.39 / $1,590.39	Professional		$1,590.39	$1,590.39	$1,590.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.51 / $843.06 / $1,008.09	Facility		$243.51	$843.06	$1,008.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $626.01 / $858.24	Professional		$456.99	$626.01	$858.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,902.73 / $1,902.73 / $1,902.73	Professional		$1,902.73	$1,902.73	$1,902.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $439.24 / $746.71 / $806.47	Professional		$439.24	$746.71	$806.47
United Facility/Professional Professional Modifier Low / Median / High Price $348.75 / $377.81 / $1,008.62	Professional		$348.75	$377.81	$1,008.62