Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.86 / $650.86 / $3,757.45	Facility		$650.86	$650.86	$3,757.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.19 / $650.86 / $3,757.45	Professional		$478.19	$650.86	$3,757.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $1,879.75 / $4,133.92	Facility		$494.25	$1,879.75	$4,133.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.00 / $659.00 / $1,258.36	Professional		$659.00	$659.00	$1,258.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,541.82 / $2,753.24	Facility		$97.00	$1,541.82	$2,753.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,727.95 / $4,024.95	Professional		$100.00	$1,727.95	$4,024.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $609.12 / $875.29 / $875.29	Facility		$609.12	$875.29	$875.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $638.96 / $901.55	Professional		$638.96	$638.96	$901.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $696.14 / $835.37 / $1,432.54	Professional		$696.14	$835.37	$1,432.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $781.39 / $911.62 / $1,979.51	Professional		$781.39	$911.62	$1,979.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,746.77 / $6,185.97 / $6,185.97	Facility		$2,746.77	$6,185.97	$6,185.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,301.80 / $6,301.80 / $8,127.53	Professional		$6,301.80	$6,301.80	$8,127.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,239.05 / $2,239.05 / $2,239.05	Professional		$2,239.05	$2,239.05	$2,239.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $1,111.20 / $1,319.91	Facility		$349.02	$1,111.20	$1,319.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $875.29 / $1,211.74	Professional		$638.96	$875.29	$1,211.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,458.04 / $2,458.04 / $2,458.04	Professional		$2,458.04	$2,458.04	$2,458.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $696.14 / $1,041.84 / $1,044.21	Professional		$696.14	$1,041.84	$1,044.21
United Facility/Professional Professional Modifier Low / Median / High Price $508.90 / $600.71 / $1,252.46	Professional		$508.90	$600.71	$1,252.46