Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.81 / $957.81 / $6,134.99	Facility		$957.81	$957.81	$6,134.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.80 / $957.81 / $6,134.99	Professional		$709.80	$957.81	$6,134.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.34 / $2,996.44 / $6,749.64	Facility		$727.34	$2,996.44	$6,749.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.82 / $965.00 / $1,977.50	Professional		$957.82	$965.00	$1,977.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,517.38 / $4,495.32	Facility		$97.00	$2,517.38	$4,495.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,821.29 / $6,571.74	Professional		$100.00	$2,821.29	$6,571.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $994.53 / $1,020.64 / $1,136.60	Facility		$994.53	$1,020.64	$1,136.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $745.07 / $1,051.26	Professional		$745.07	$745.07	$1,051.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $856.69 / $1,028.03 / $2,338.96	Professional		$856.69	$1,028.03	$2,338.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,275.80 / $1,488.44 / $3,232.04	Professional		$1,275.80	$1,488.44	$3,232.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,748.65 / $8,461.77 / $10,100.12	Facility		$3,748.65	$8,461.77	$10,100.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,850.71 / $12,135.11 / $12,232.80	Professional		$11,850.71	$12,135.11	$12,232.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,682.76 / $3,682.76 / $3,682.76	Professional		$3,682.76	$3,682.76	$3,682.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $513.63 / $1,846.99 / $2,206.69	Facility		$513.63	$1,846.99	$2,206.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $1,020.64 / $2,023.88	Professional		$745.07	$1,020.64	$2,023.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,013.38 / $4,013.38 / $4,013.38	Professional		$4,013.38	$4,013.38	$4,013.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $856.69 / $1,456.37 / $1,701.07	Professional		$856.69	$1,456.37	$1,701.07
United Facility/Professional Professional Modifier Low / Median / High Price $748.90 / $958.77 / $2,069.46	Professional		$748.90	$958.77	$2,069.46