Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.79 / $582.79 / $3,732.96	Facility		$582.79	$582.79	$3,732.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.30 / $582.79 / $3,732.96	Professional		$511.30	$582.79	$3,732.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.57 / $1,823.25 / $4,106.97	Facility		$442.57	$1,823.25	$4,106.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.09 / $591.00 / $1,081.11	Professional		$567.09	$591.00	$1,081.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,531.76 / $2,735.29	Facility		$97.00	$1,531.76	$2,735.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,716.68 / $3,998.73	Professional		$100.00	$1,716.68	$3,998.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $605.14 / $751.98 / $751.98	Facility		$605.14	$751.98	$751.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $1,347.75	Professional		$548.95	$548.95	$1,347.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $488.05 / $585.66 / $1,423.20	Professional		$488.05	$585.66	$1,423.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.29 / $905.67 / $1,966.61	Professional		$776.29	$905.67	$1,966.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,359.85 / $6,145.65 / $6,145.65	Facility		$2,359.85	$6,145.65	$6,145.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,210.34 / $6,210.34 / $9,281.78	Professional		$6,210.34	$6,210.34	$9,281.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,325.76 / $2,325.76 / $2,325.76	Professional		$2,325.76	$2,325.76	$2,325.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.52 / $1,116.33 / $1,293.82	Facility		$312.52	$1,116.33	$1,293.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $1,106.47	Professional		$548.95	$548.95	$1,106.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,442.02 / $2,442.02 / $2,442.02	Professional		$2,442.02	$2,442.02	$2,442.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $488.05 / $829.69 / $1,035.06	Professional		$488.05	$829.69	$1,035.06
United Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $439.56 / $479.78	Facility		$79.95	$439.56	$479.78
United Facility/Professional Professional Modifier Low / Median / High Price $439.56 / $484.89 / $1,251.89	Professional		$439.56	$484.89	$1,251.89