Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $4,365.16	Facility		$446.68	$446.68	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $3,801.89	Professional		$323.59	$446.68	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $436.52 / $1,995.26	Facility		$338.84	$436.52	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $1,096.48	Professional		$457.09	$457.09	$1,096.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,737.80 / $2,344.23	Facility		$100.00	$1,737.80	$2,344.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,862.09 / $3,235.94	Professional		$977.24	$1,862.09	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $489.78 / $501.19	Facility		$467.74	$489.78	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $489.78	Professional		$354.81	$354.81	$489.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $1,230.27	Professional		$251.19	$309.03	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,621.81	Professional		$616.60	$912.01	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,888.44 / $5,888.44	Professional		$5,128.61	$5,888.44	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $794.33 / $1,230.27	Facility		$288.40	$794.33	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $741.31	Professional		$354.81	$354.81	$741.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $912.01	Professional		$251.19	$371.54	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $489.78 / $1,023.29	Facility		$61.66	$489.78	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $1,000.00	Professional		$354.81	$446.68	$1,000.00