Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.68 / $438.68 / $2,604.82	Facility		$438.68	$438.68	$2,604.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.79 / $438.68 / $2,604.82	Professional		$319.79	$438.68	$2,604.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.12 / $1,300.43 / $2,865.79	Facility		$333.12	$1,300.43	$2,865.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.54 / $444.16 / $731.20	Professional		$383.54	$444.16	$731.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,068.83 / $1,908.64	Facility		$97.00	$1,068.83	$1,908.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,197.88 / $2,790.25	Professional		$100.00	$1,197.88	$2,790.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.25 / $456.40 / $482.58	Facility		$422.25	$456.40	$482.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $333.17 / $470.09	Professional		$333.17	$333.17	$470.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $344.89 / $413.87 / $993.09	Professional		$344.89	$413.87	$993.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.69 / $631.97 / $1,372.27	Professional		$541.69	$631.97	$1,372.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,596.07 / $4,288.35 / $4,288.35	Facility		$1,596.07	$4,288.35	$4,288.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,333.49 / $4,333.49 / $5,494.13	Professional		$4,333.49	$4,333.49	$5,494.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,497.34 / $1,497.34 / $1,497.34	Professional		$1,497.34	$1,497.34	$1,497.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.24 / $767.39 / $902.81	Facility		$235.24	$767.39	$902.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $456.40 / $713.29	Professional		$333.17	$456.40	$713.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,704.02 / $1,704.02 / $1,704.02	Professional		$1,704.02	$1,704.02	$1,704.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $344.89 / $586.30 / $722.25	Professional		$344.89	$586.30	$722.25
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $404.88 / $857.64	Professional		$343.00	$404.88	$857.64