Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.06 / $979.06 / $4,887.08	Facility		$979.06	$979.06	$4,887.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.22 / $979.06 / $4,887.08	Professional		$762.22	$979.06	$4,887.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.47 / $2,596.64 / $5,376.72	Facility		$743.47	$2,596.64	$5,376.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $888.59 / $979.06 / $1,649.44	Professional		$888.59	$979.06	$1,649.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,005.31 / $3,580.91	Facility		$97.00	$2,005.31	$3,580.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,247.42 / $5,234.99	Professional		$100.00	$2,247.42	$5,234.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $792.23 / $1,018.60 / $1,018.60	Facility		$792.23	$1,018.60	$1,018.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $743.58 / $2,056.13	Professional		$743.58	$743.58	$2,056.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $631.80 / $758.17 / $1,863.21	Professional		$631.80	$758.17	$1,863.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,016.30 / $1,185.68 / $2,574.62	Professional		$1,016.30	$1,185.68	$2,574.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,600.39 / $8,561.92 / $8,561.92	Facility		$3,600.39	$8,561.92	$8,561.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,758.78 / $10,758.78 / $12,225.90	Professional		$10,758.78	$10,758.78	$12,225.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,455.65 / $4,455.65 / $4,455.65	Professional		$4,455.65	$4,455.65	$4,455.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $525.02 / $1,497.47 / $1,778.52	Facility		$525.02	$1,497.47	$1,778.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $743.58 / $1,686.85	Professional		$743.58	$743.58	$1,686.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,197.02 / $3,197.02 / $3,197.02	Professional		$3,197.02	$3,197.02	$3,197.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $631.80 / $1,074.08 / $1,355.06	Professional		$631.80	$1,074.08	$1,355.06
United Facility/Professional Professional Modifier Low / Median / High Price $765.51 / $845.03 / $1,693.83	Professional		$765.51	$845.03	$1,693.83