Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.82 / $450.82 / $2,887.60	Facility		$450.82	$450.82	$2,887.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.30 / $450.82 / $2,887.60	Professional		$335.30	$450.82	$2,887.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.35 / $1,410.36 / $3,176.90	Facility		$342.35	$1,410.36	$3,176.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.06 / $456.56 / $698.08	Professional		$376.06	$456.56	$698.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,184.88 / $2,115.85	Facility		$97.00	$1,184.88	$2,115.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,327.92 / $3,093.18	Professional		$100.00	$1,327.92	$3,093.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.11 / $485.57 / $534.98	Facility		$468.11	$485.57	$534.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $354.47 / $517.64	Professional		$354.47	$354.47	$517.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $248.88 / $298.66 / $1,100.90	Professional		$248.88	$298.66	$1,100.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.49 / $700.57 / $1,521.25	Professional		$600.49	$700.57	$1,521.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,523.76 / $3,853.16 / $4,753.89	Facility		$1,523.76	$3,853.16	$4,753.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,024.43 / $5,145.03 / $5,868.53	Professional		$5,024.43	$5,145.03	$5,868.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,569.95 / $1,569.95 / $1,569.95	Professional		$1,569.95	$1,569.95	$1,569.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.75 / $807.33 / $1,000.82	Facility		$241.75	$807.33	$1,000.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $485.57 / $741.08	Professional		$354.47	$485.57	$741.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,889.00 / $1,889.00 / $1,889.00	Professional		$1,889.00	$1,889.00	$1,889.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $248.88 / $423.10 / $800.66	Professional		$248.88	$423.10	$800.66
United Facility/Professional Professional Modifier Low / Median / High Price $356.35 / $451.28 / $1,344.89	Professional		$356.35	$451.28	$1,344.89