Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.70 / $656.70 / $4,206.26	Facility		$656.70	$656.70	$4,206.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.90 / $656.70 / $4,206.26	Professional		$491.90	$656.70	$4,206.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.68 / $2,054.40 / $4,627.64	Facility		$498.68	$2,054.40	$4,627.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.47 / $667.98 / $1,034.78	Professional		$557.47	$667.98	$1,034.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,725.96 / $3,082.06	Facility		$97.00	$1,725.96	$3,082.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,934.31 / $4,505.68	Professional		$100.00	$1,934.31	$4,505.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $681.86 / $719.79 / $779.27	Facility		$681.86	$719.79	$779.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $525.45 / $741.38	Professional		$525.45	$525.45	$741.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $560.55 / $672.67 / $1,603.64	Professional		$560.55	$672.67	$1,603.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $874.71 / $1,020.50 / $2,215.92	Professional		$874.71	$1,020.50	$2,215.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,113.88 / $5,694.72 / $6,924.79	Facility		$2,113.88	$5,694.72	$6,924.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,260.09 / $7,260.09 / $8,200.43	Professional		$7,260.09	$7,260.09	$8,200.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,303.21 / $2,303.21 / $2,303.21	Professional		$2,303.21	$2,303.21	$2,303.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.15 / $1,168.91 / $1,457.85	Facility		$352.15	$1,168.91	$1,457.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $719.79 / $1,067.76	Professional		$525.45	$719.79	$1,067.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,751.64 / $2,751.64 / $2,751.64	Professional		$2,751.64	$2,751.64	$2,751.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $560.55 / $952.95 / $1,166.28	Professional		$560.55	$952.95	$1,166.28
United Facility/Professional Professional Modifier Low / Median / High Price $513.46 / $640.66 / $1,418.86	Professional		$513.46	$640.66	$1,418.86