Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.83 / $925.83 / $5,905.80	Facility		$925.83	$925.83	$5,905.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.10 / $925.83 / $5,905.80	Professional		$754.10	$925.83	$5,905.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $703.06 / $2,884.46 / $6,497.41	Facility		$703.06	$2,884.46	$6,497.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.91 / $1,450.68 / $1,707.00	Professional		$891.91	$1,450.68	$1,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,423.34 / $4,327.39	Facility		$97.00	$2,423.34	$4,327.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,715.87 / $6,326.20	Professional		$100.00	$2,715.87	$6,326.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.38 / $963.22 / $1,094.14	Facility		$957.38	$963.22	$1,094.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $703.15 / $992.12	Professional		$703.15	$703.15	$992.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $580.66 / $696.79 / $2,251.57	Professional		$580.66	$696.79	$2,251.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,228.13 / $1,432.82 / $3,111.26	Professional		$1,228.13	$1,432.82	$3,111.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,613.87 / $9,722.68 / $9,722.68	Facility		$3,613.87	$9,722.68	$9,722.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,112.74 / $10,112.74 / $11,561.25	Professional		$10,112.74	$10,112.74	$11,561.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,530.89 / $3,530.89 / $3,530.89	Professional		$3,530.89	$3,530.89	$3,530.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.48 / $1,722.39 / $2,046.88	Facility		$496.48	$1,722.39	$2,046.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $963.22 / $1,552.18	Professional		$703.15	$963.22	$1,552.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,863.44 / $3,863.44 / $3,863.44	Professional		$3,863.44	$3,863.44	$3,863.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $580.66 / $987.12 / $1,637.50	Professional		$580.66	$987.12	$1,637.50
United Facility/Professional Professional Modifier Low / Median / High Price $723.90 / $903.22 / $1,980.57	Professional		$723.90	$903.22	$1,980.57