Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.33 / $825.33 / $5,286.41	Facility		$825.33	$825.33	$5,286.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.89 / $825.33 / $5,286.41	Professional		$639.89	$825.33	$5,286.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $626.73 / $2,581.96 / $5,816.02	Facility		$626.73	$2,581.96	$5,816.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $802.63 / $839.51 / $1,489.89	Professional		$802.63	$839.51	$1,489.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,169.17 / $3,873.54	Facility		$97.00	$2,169.17	$3,873.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,431.05 / $5,662.74	Professional		$100.00	$2,431.05	$5,662.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $856.97 / $1,036.33 / $1,036.33	Facility		$856.97	$1,036.33	$1,036.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $756.53 / $1,067.43	Professional		$756.53	$756.53	$1,067.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $345.48 / $414.58 / $2,015.44	Professional		$345.48	$414.58	$2,015.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,099.33 / $1,282.55 / $2,784.97	Professional		$1,099.33	$1,282.55	$2,784.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,986.19 / $7,109.86 / $8,703.04	Facility		$2,986.19	$7,109.86	$8,703.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,440.37 / $9,666.95 / $10,306.28	Professional		$9,440.37	$9,666.95	$10,306.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,245.70 / $3,245.70 / $3,245.70	Professional		$3,245.70	$3,245.70	$3,245.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.58 / $1,583.27 / $1,832.22	Facility		$442.58	$1,583.27	$1,832.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $1,036.33 / $1,341.96	Professional		$756.53	$1,036.33	$1,341.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,458.25 / $3,458.25 / $3,458.25	Professional		$3,458.25	$3,458.25	$3,458.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $345.48 / $587.32 / $1,465.78	Professional		$345.48	$587.32	$1,465.78
United Facility/Professional Professional Modifier Low / Median / High Price $645.30 / $825.33 / $1,832.27	Professional		$645.30	$825.33	$1,832.27