Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.26 / $860.26 / $5,065.30	Facility		$860.26	$860.26	$5,065.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.75 / $860.26 / $5,065.30	Professional		$640.75	$860.26	$5,065.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.26 / $2,534.03 / $5,572.80	Facility		$653.26	$2,534.03	$5,572.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.01 / $871.01 / $1,621.22	Professional		$871.01	$871.01	$1,621.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,078.46 / $3,711.54	Facility		$97.00	$2,078.46	$3,711.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,329.37 / $5,425.88	Professional		$100.00	$2,329.37	$5,425.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $821.13 / $895.00 / $938.43	Facility		$821.13	$895.00	$938.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $653.35 / $921.85	Professional		$653.35	$653.35	$921.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $650.97 / $781.16 / $1,931.16	Professional		$650.97	$781.16	$1,931.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,053.35 / $1,228.92 / $2,668.51	Professional		$1,053.35	$1,228.92	$2,668.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,538.80 / $8,339.10 / $8,339.10	Facility		$3,538.80	$8,339.10	$8,339.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,690.21 / $8,690.21 / $11,821.35	Professional		$8,690.21	$8,690.21	$11,821.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,936.25 / $2,936.25 / $2,936.25	Professional		$2,936.25	$2,936.25	$2,936.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.31 / $1,479.19 / $1,779.33	Facility		$461.31	$1,479.19	$1,779.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $895.00 / $1,671.00	Professional		$653.35	$895.00	$1,671.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,313.60 / $3,313.60 / $3,313.60	Professional		$3,313.60	$3,313.60	$3,313.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $650.97 / $1,106.65 / $1,404.48	Professional		$650.97	$1,106.65	$1,404.48
United Facility/Professional Professional Modifier Low / Median / High Price $672.62 / $786.34 / $1,655.42	Professional		$672.62	$786.34	$1,655.42