Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.59 / $867.59 / $5,495.09	Facility		$867.59	$867.59	$5,495.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.84 / $867.59 / $5,495.09	Professional		$697.84	$867.59	$5,495.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $658.83 / $2,683.91 / $6,045.64	Facility		$658.83	$2,683.91	$6,045.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $878.44 / $878.44 / $1,791.23	Professional		$878.44	$878.44	$1,791.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,254.81 / $4,026.44	Facility		$97.00	$2,254.81	$4,026.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,527.03 / $5,886.28	Professional		$100.00	$2,527.03	$5,886.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.79 / $902.63 / $1,018.04	Facility		$890.79	$902.63	$1,018.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $658.92 / $929.71	Professional		$658.92	$658.92	$929.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $668.05 / $801.66 / $2,095.02	Professional		$668.05	$801.66	$2,095.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,142.74 / $1,333.19 / $2,894.93	Professional		$1,142.74	$1,333.19	$2,894.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,909.88 / $9,046.66 / $9,046.66	Facility		$3,909.88	$9,046.66	$9,046.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,141.89 / $9,141.89 / $10,834.05	Professional		$9,141.89	$9,141.89	$10,834.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,509.04 / $3,509.04 / $3,509.04	Professional		$3,509.04	$3,509.04	$3,509.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $465.25 / $1,645.96 / $1,915.46	Facility		$465.25	$1,645.96	$1,915.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $902.63 / $1,567.46	Professional		$658.92	$902.63	$1,567.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,594.77 / $3,594.77 / $3,594.77	Professional		$3,594.77	$3,594.77	$3,594.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $668.05 / $1,135.69 / $1,523.65	Professional		$668.05	$1,135.69	$1,523.65
United Facility/Professional Professional Modifier Low / Median / High Price $685.78 / $846.41 / $1,730.56	Professional		$685.78	$846.41	$1,730.56