Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $4,073.80	Facility		$457.09	$457.09	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $3,548.13	Professional		$338.84	$457.09	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $446.68 / $1,905.46	Facility		$346.74	$446.68	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,047.13	Professional		$467.74	$467.74	$1,047.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,659.59 / $2,187.76	Facility		$100.00	$1,659.59	$2,187.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,737.80 / $3,019.95	Professional		$912.01	$1,737.80	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $575.44 / $575.44	Facility		$436.52	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $575.44	Professional		$416.87	$416.87	$575.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $1,148.15	Professional		$134.90	$169.82	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,513.56	Professional		$575.44	$851.14	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $7,762.47 / $7,762.47	Professional		$5,128.61	$7,762.47	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $831.76 / $1,174.90	Facility		$302.00	$831.76	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $954.99	Professional		$416.87	$416.87	$954.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $851.14	Professional		$134.90	$199.53	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $501.19 / $1,047.13	Facility		$63.10	$501.19	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $933.25	Professional		$363.08	$457.09	$933.25