Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.19 / $829.19 / $4,479.49	Facility		$829.19	$829.19	$4,479.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.83 / $829.19 / $4,479.49	Professional		$655.83	$829.19	$4,479.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $629.66 / $2,288.54 / $4,928.26	Facility		$629.66	$2,288.54	$4,928.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.45 / $843.45 / $1,590.04	Professional		$843.45	$843.45	$1,590.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,838.08 / $3,282.29	Facility		$98.20	$1,838.08	$3,282.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,059.96 / $4,798.37	Professional		$100.00	$2,059.96	$4,798.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.17 / $1,105.99 / $1,105.99	Facility		$726.17	$1,105.99	$1,105.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $807.37 / $1,139.17	Professional		$807.37	$807.37	$1,139.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $593.60 / $712.32 / $1,707.81	Professional		$593.60	$712.32	$1,707.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $931.53 / $1,086.79 / $2,359.88	Professional		$931.53	$1,086.79	$2,359.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,470.73 / $7,374.61 / $7,374.61	Facility		$3,470.73	$7,374.61	$7,374.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,124.39 / $8,124.39 / $12,463.80	Professional		$8,124.39	$8,124.39	$12,463.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,229.93 / $3,229.93 / $3,229.93	Professional		$3,229.93	$3,229.93	$3,229.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $444.65 / $1,372.59 / $1,575.58	Facility		$444.65	$1,372.59	$1,575.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $1,105.99 / $1,552.55	Professional		$807.37	$1,105.99	$1,552.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,930.38 / $2,930.38 / $2,930.38	Professional		$2,930.38	$2,930.38	$2,930.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $593.60 / $1,009.12 / $1,242.04	Professional		$593.60	$1,009.12	$1,242.04
United Facility/Professional Professional Modifier Low / Median / High Price $658.06 / $808.95 / $2,102.96	Professional		$658.06	$808.95	$2,102.96