Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.62 / $877.62 / $4,672.18	Facility		$877.62	$877.62	$4,672.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.30 / $877.62 / $4,672.18	Professional		$686.30	$877.62	$4,672.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.44 / $2,422.17 / $5,140.24	Facility		$666.44	$2,422.17	$5,140.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.36 / $884.20 / $1,797.84	Professional		$880.36	$884.20	$1,797.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,917.16 / $3,423.50	Facility		$97.00	$1,917.16	$3,423.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,148.59 / $5,004.77	Professional		$100.00	$2,148.59	$5,004.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $757.40 / $913.06 / $913.06	Facility		$757.40	$913.06	$913.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $666.53 / $973.36	Professional		$666.53	$666.53	$973.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $558.45 / $670.14 / $1,781.26	Professional		$558.45	$670.14	$1,781.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.60 / $1,133.53 / $2,461.38	Professional		$971.60	$1,133.53	$2,461.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,924.31 / $7,691.82 / $7,691.82	Facility		$3,924.31	$7,691.82	$7,691.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,088.15 / $9,088.15 / $13,911.90	Professional		$9,088.15	$9,088.15	$13,911.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,763.77 / $3,763.77 / $3,763.77	Professional		$3,763.77	$3,763.77	$3,763.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $470.62 / $1,383.82 / $1,700.30	Facility		$470.62	$1,383.82	$1,700.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $913.06 / $1,407.45	Professional		$666.53	$913.06	$1,407.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,056.44 / $3,056.44 / $3,056.44	Professional		$3,056.44	$3,056.44	$3,056.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $558.45 / $949.37 / $1,295.46	Professional		$558.45	$949.37	$1,295.46
United Facility/Professional Professional Modifier Low / Median / High Price $686.20 / $807.87 / $1,620.18	Professional		$686.20	$807.87	$1,620.18