Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.81 / $456.81 / $2,925.94	Facility		$456.81	$456.81	$2,925.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.18 / $456.81 / $2,925.94	Professional		$340.18	$456.81	$2,925.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.00 / $1,429.08 / $3,219.09	Facility		$347.00	$1,429.08	$3,219.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.77 / $462.16 / $870.81	Professional		$456.77	$462.16	$870.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,200.59 / $2,143.92	Facility		$97.00	$1,200.59	$2,143.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,345.54 / $3,134.20	Professional		$100.00	$1,345.54	$3,134.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.31 / $663.31 / $663.31	Facility		$474.31	$663.31	$663.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $484.22 / $707.13	Professional		$484.22	$484.22	$707.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $376.03 / $451.24 / $1,115.52	Professional		$376.03	$451.24	$1,115.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.47 / $709.88 / $1,541.45	Professional		$608.47	$709.88	$1,541.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,752.78 / $4,017.59 / $4,817.02	Facility		$1,752.78	$4,017.59	$4,817.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,540.85 / $5,673.83 / $5,704.35	Professional		$5,540.85	$5,673.83	$5,704.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,411.14 / $2,411.14 / $2,411.14	Professional		$2,411.14	$2,411.14	$2,411.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.96 / $861.99 / $1,028.83	Facility		$244.96	$861.99	$1,028.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $663.31 / $873.49	Professional		$484.22	$663.31	$873.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,914.08 / $1,914.08 / $1,914.08	Professional		$1,914.08	$1,914.08	$1,914.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $376.03 / $639.25 / $811.29	Professional		$376.03	$639.25	$811.29
United Facility/Professional Professional Modifier Low / Median / High Price $361.07 / $457.26 / $1,069.10	Professional		$361.07	$457.26	$1,069.10