Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.99 / $773.99 / $3,864.54	Facility		$773.99	$773.99	$3,864.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.24 / $773.99 / $3,864.54	Professional		$629.24	$773.99	$3,864.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.75 / $2,053.33 / $4,251.72	Facility		$587.75	$2,053.33	$4,251.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.64 / $787.30 / $1,428.69	Professional		$645.64	$787.30	$1,428.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,585.75 / $2,831.70	Facility		$97.00	$1,585.75	$2,831.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,777.18 / $4,139.64	Professional		$100.00	$1,777.18	$4,139.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.49 / $908.11 / $908.11	Facility		$626.49	$908.11	$908.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $1,494.00	Professional		$662.92	$662.92	$1,494.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $534.19 / $641.03 / $1,473.36	Professional		$534.19	$641.03	$1,473.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $803.65 / $937.59 / $2,035.92	Professional		$803.65	$937.59	$2,035.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,616.04 / $6,807.72 / $6,807.72	Facility		$2,616.04	$6,807.72	$6,807.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,505.34 / $8,505.34 / $9,665.18	Professional		$8,505.34	$8,505.34	$9,665.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,522.41 / $3,522.41 / $3,522.41	Professional		$3,522.41	$3,522.41	$3,522.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.05 / $1,184.17 / $1,406.39	Facility		$415.05	$1,184.17	$1,406.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $1,274.88	Professional		$662.92	$662.92	$1,274.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,528.09 / $2,528.09 / $2,528.09	Professional		$2,528.09	$2,528.09	$2,528.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $534.19 / $908.12 / $1,071.54	Professional		$534.19	$908.12	$1,071.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,460.51 / $1,718.25 / $1,718.25	Facility		$1,460.51	$1,718.25	$1,718.25
United Facility/Professional Professional Modifier Low / Median / High Price $605.16 / $668.22 / $1,272.51	Professional		$605.16	$668.22	$1,272.51