Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $7,079.46	Facility		$870.96	$870.96	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $6,165.95	Professional		$676.08	$912.01	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $3,630.78	Facility		$660.69	$851.14	$3,630.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,995.26	Professional		$870.96	$870.96	$1,995.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,818.38 / $3,801.89	Facility		$100.00	$2,818.38	$3,801.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,019.95 / $5,248.07	Professional		$1,584.89	$3,019.95	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $912.01 / $912.01	Facility		$758.58	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Professional		$660.69	$660.69	$912.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,995.26	Professional		$562.34	$691.83	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,630.27	Professional		$1,000.00	$1,479.11	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility		$7,762.47	$7,762.47	$7,762.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $13,803.84 / $13,803.84	Professional		$9,120.11	$13,803.84	$13,803.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,479.11 / $2,041.74	Facility		$524.81	$1,479.11	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,412.54	Professional		$660.69	$660.69	$1,412.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,479.11	Professional		$562.34	$831.76	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $954.99 / $1,995.26	Facility		$120.23	$954.99	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,659.59	Professional		$691.83	$870.96	$1,659.59