Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.96 / $656.96 / $3,436.10	Facility		$656.96	$656.96	$3,436.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.32 / $656.96 / $3,436.10	Professional		$493.32	$656.96	$3,436.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.89 / $1,813.22 / $3,780.31	Facility		$498.89	$1,813.22	$3,780.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.97 / $665.18 / $1,255.60	Professional		$656.97	$665.18	$1,255.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,409.95 / $2,517.76	Facility		$97.00	$1,409.95	$2,517.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,580.14 / $3,680.70	Professional		$100.00	$1,580.14	$3,680.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.01 / $957.73 / $957.73	Facility		$557.01	$957.73	$957.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $699.14 / $1,020.99	Professional		$699.14	$699.14	$1,020.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $441.59 / $529.91 / $1,310.00	Professional		$441.59	$529.91	$1,310.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.55 / $833.64 / $1,810.18	Professional		$714.55	$833.64	$1,810.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,268.19 / $5,705.72 / $5,705.72	Facility		$2,268.19	$5,705.72	$5,705.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,933.16 / $6,075.54 / $9,155.62	Professional		$5,933.16	$6,075.54	$9,155.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,309.85 / $2,309.85 / $2,309.85	Professional		$2,309.85	$2,309.85	$2,309.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.30 / $1,034.45 / $1,207.02	Facility		$352.30	$1,034.45	$1,207.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $957.73 / $1,133.53	Professional		$699.14	$957.73	$1,133.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,247.82 / $2,247.82 / $2,247.82	Professional		$2,247.82	$2,247.82	$2,247.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $441.59 / $750.70 / $952.73	Professional		$441.59	$750.70	$952.73
United Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $595.23 / $595.23	Facility		$595.23	$595.23	$595.23
United Facility/Professional Professional Modifier Low / Median / High Price $513.66 / $588.84 / $1,201.55	Professional		$513.66	$588.84	$1,201.55