Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.74 / $891.74 / $4,884.62	Facility		$891.74	$891.74	$4,884.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.38 / $891.74 / $4,884.62	Professional		$650.38	$891.74	$4,884.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $677.18 / $2,461.21 / $5,373.99	Facility		$677.18	$2,461.21	$5,373.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.90 / $902.90 / $1,686.95	Professional		$902.90	$902.90	$1,686.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,004.29 / $3,579.10	Facility		$97.00	$2,004.29	$3,579.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,246.28 / $5,232.35	Professional		$100.00	$2,246.28	$5,232.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.83 / $1,232.20 / $1,232.20	Facility		$791.83	$1,232.20	$1,232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $899.51 / $1,313.59	Professional		$899.51	$899.51	$1,313.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $627.74 / $753.29 / $1,862.27	Professional		$627.74	$753.29	$1,862.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,015.78 / $1,185.08 / $2,573.31	Professional		$1,015.78	$1,185.08	$2,573.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,682.28 / $8,041.61 / $8,041.61	Facility		$3,682.28	$8,041.61	$8,041.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,380.20 / $8,380.20 / $12,300.60	Professional		$8,380.20	$8,380.20	$12,300.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,045.27 / $3,045.27 / $3,045.27	Professional		$3,045.27	$3,045.27	$3,045.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $1,470.53 / $1,715.84	Facility		$478.20	$1,470.53	$1,715.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $1,232.20 / $1,611.39	Professional		$899.51	$1,232.20	$1,611.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,195.41 / $3,195.41 / $3,195.41	Professional		$3,195.41	$3,195.41	$3,195.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $627.74 / $1,067.16 / $1,354.38	Professional		$627.74	$1,067.16	$1,354.38
United Facility/Professional Professional Modifier Low / Median / High Price $684.86 / $818.24 / $1,608.40	Professional		$684.86	$818.24	$1,608.40