Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.95 / $460.95 / $2,686.86	Facility		$460.95	$460.95	$2,686.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.02 / $460.95 / $2,686.86	Professional		$336.02	$460.95	$2,686.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.04 / $1,344.17 / $2,956.07	Facility		$350.04	$1,344.17	$2,956.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.16 / $468.88 / $822.60	Professional		$443.16	$468.88	$822.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,102.50 / $1,968.75	Facility		$97.00	$1,102.50	$1,968.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,235.59 / $2,878.13	Professional		$100.00	$1,235.59	$2,878.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.55 / $572.20 / $572.20	Facility		$435.55	$572.20	$572.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $417.71 / $589.37	Professional		$417.71	$417.71	$589.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $161.38 / $1,024.38	Professional		$134.47	$161.38	$1,024.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.75 / $651.88 / $1,415.50	Professional		$558.75	$651.88	$1,415.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,795.58 / $4,423.43 / $4,423.43	Facility		$1,795.58	$4,423.43	$4,423.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,096.03 / $5,096.03 / $7,674.75	Professional		$5,096.03	$5,096.03	$7,674.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,573.31 / $1,573.31 / $1,573.31	Professional		$1,573.31	$1,573.31	$1,573.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.19 / $804.80 / $943.83	Facility		$247.19	$804.80	$943.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $572.20 / $931.25	Professional		$417.71	$572.20	$931.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,757.68 / $1,757.68 / $1,757.68	Professional		$1,757.68	$1,757.68	$1,757.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $228.62 / $745.00	Professional		$134.47	$228.62	$745.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.41 / $460.44 / $981.75	Professional		$360.41	$460.44	$981.75