Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.63 / $669.63 / $3,466.84	Facility		$669.63	$669.63	$3,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.24 / $669.63 / $3,466.84	Professional		$503.24	$669.63	$3,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.50 / $1,842.04 / $3,814.21	Facility		$508.50	$1,842.04	$3,814.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.26 / $686.95 / $1,287.32	Professional		$675.26	$686.95	$1,287.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,422.56 / $2,540.28	Facility		$97.00	$1,422.56	$2,540.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,594.30 / $3,713.64	Professional		$100.00	$1,594.30	$3,713.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $895.43 / $895.43	Facility		$562.00	$895.43	$895.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $653.66 / $954.57	Professional		$653.66	$653.66	$954.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $445.55 / $534.66 / $1,321.75	Professional		$445.55	$534.66	$1,321.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.95 / $841.11 / $1,826.42	Professional		$720.95	$841.11	$1,826.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,325.48 / $5,814.95 / $5,814.95	Facility		$2,325.48	$5,814.95	$5,814.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,083.01 / $6,228.99 / $9,386.78	Professional		$6,083.01	$6,228.99	$9,386.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,356.29 / $2,356.29 / $2,356.29	Professional		$2,356.29	$2,356.29	$2,356.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $359.09 / $1,043.72 / $1,217.82	Facility		$359.09	$1,043.72	$1,217.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $895.43 / $1,143.69	Professional		$653.66	$895.43	$1,143.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,267.92 / $2,267.92 / $2,267.92	Professional		$2,267.92	$2,267.92	$2,267.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $445.55 / $757.44 / $961.27	Professional		$445.55	$757.44	$961.27
United Facility/Professional Professional Modifier Low / Median / High Price $523.58 / $594.11 / $1,201.58	Professional		$523.58	$594.11	$1,201.58