Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $3,388.44	Facility		$416.87	$416.87	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $3,019.95	Professional		$302.00	$416.87	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $407.38 / $1,737.80	Facility		$316.23	$407.38	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $954.99	Professional		$426.58	$426.58	$954.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,348.96 / $1,819.70	Facility		$100.00	$1,348.96	$1,819.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,479.11 / $2,511.89	Professional		$758.58	$1,479.11	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $549.54 / $549.54	Facility		$363.08	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $549.54	Professional		$407.38	$407.38	$549.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $954.99	Professional		$398.11	$501.19	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $1,288.25	Professional		$478.63	$794.33	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,248.07 / $5,248.07	Professional		$4,677.35	$5,248.07	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $707.95 / $1,000.00	Facility		$251.19	$707.95	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $812.83	Professional		$407.38	$407.38	$812.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $724.44	Professional		$398.11	$602.56	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $457.09 / $954.99	Facility		$57.54	$457.09	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $794.33	Professional		$331.13	$416.87	$794.33