Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.94 / $694.94 / $3,338.45	Facility		$694.94	$694.94	$3,338.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.50 / $694.94 / $3,338.45	Professional		$563.50	$694.94	$3,338.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.72 / $1,773.80 / $3,672.92	Facility		$527.72	$1,773.80	$3,672.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.29 / $699.53 / $1,298.52	Professional		$699.29	$699.53	$1,298.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,369.88 / $2,446.21	Facility		$97.00	$1,369.88	$2,446.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,535.25 / $3,576.13	Professional		$100.00	$1,535.25	$3,576.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.19 / $930.44 / $930.44	Facility		$541.19	$930.44	$930.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $679.22 / $991.89	Professional		$679.22	$679.22	$991.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $562.20 / $674.64 / $1,272.79	Professional		$562.20	$674.64	$1,272.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.25 / $809.96 / $1,758.76	Professional		$694.25	$809.96	$1,758.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,345.71 / $6,077.59 / $6,077.59	Facility		$2,345.71	$6,077.59	$6,077.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,636.71 / $7,636.71 / $11,520.08	Professional		$7,636.71	$7,636.71	$11,520.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,162.67 / $3,162.67 / $3,162.67	Professional		$3,162.67	$3,162.67	$3,162.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.67 / $1,022.96 / $1,214.93	Facility		$372.67	$1,022.96	$1,214.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $930.44 / $1,157.08	Professional		$679.22	$930.44	$1,157.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,183.94 / $2,183.94 / $2,183.94	Professional		$2,183.94	$2,183.94	$2,183.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $562.20 / $925.66 / $925.66	Professional		$562.20	$925.66	$925.66
United Facility/Professional Professional Modifier Low / Median / High Price $533.72 / $587.38 / $1,157.08	Professional		$533.72	$587.38	$1,157.08