Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.74 / $416.74 / $2,669.33	Facility		$416.74	$416.74	$2,669.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.41 / $416.74 / $2,669.33	Professional		$310.41	$416.74	$2,669.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.45 / $1,303.75 / $2,936.77	Facility		$316.45	$1,303.75	$2,936.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.69 / $416.74 / $719.66	Professional		$387.69	$416.74	$719.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,095.31 / $1,955.91	Facility		$97.00	$1,095.31	$1,955.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,227.53 / $2,859.32	Professional		$100.00	$1,227.53	$2,859.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.72 / $500.58 / $500.58	Facility		$432.72	$500.58	$500.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $365.42 / $533.64	Professional		$365.42	$365.42	$533.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $384.33 / $461.20 / $1,017.69	Professional		$384.33	$461.20	$1,017.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $555.10 / $647.62 / $1,406.26	Professional		$555.10	$647.62	$1,406.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,570.87 / $4,394.56 / $4,394.56	Facility		$1,570.87	$4,394.56	$4,394.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,607.35 / $4,607.35 / $5,204.03	Professional		$4,607.35	$4,607.35	$5,204.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,540.04 / $1,540.04 / $1,540.04	Professional		$1,540.04	$1,540.04	$1,540.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $803.12 / $925.17	Facility		$223.48	$803.12	$925.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $500.58 / $872.99	Professional		$365.42	$500.58	$872.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,746.22 / $1,746.22 / $1,746.22	Professional		$1,746.22	$1,746.22	$1,746.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $384.33 / $653.36 / $740.14	Professional		$384.33	$653.36	$740.14
United Facility/Professional Professional Modifier Low / Median / High Price $329.41 / $406.57 / $878.03	Professional		$329.41	$406.57	$878.03