Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.14 / $992.14 / $4,766.14	Facility		$992.14	$992.14	$4,766.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.75 / $992.14 / $4,766.14	Professional		$752.75	$992.14	$4,766.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $753.41 / $2,532.38 / $5,243.66	Facility		$753.41	$2,532.38	$5,243.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.19 / $1,009.19 / $1,903.71	Professional		$1,009.19	$1,009.19	$1,903.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,955.71 / $3,492.33	Facility		$97.00	$1,955.71	$3,492.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,191.80 / $5,105.45	Professional		$100.00	$2,191.80	$5,105.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $772.63 / $1,324.18 / $1,324.18	Facility		$772.63	$1,324.18	$1,324.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $966.65 / $1,363.91	Professional		$966.65	$966.65	$1,363.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $649.95 / $779.94 / $1,817.10	Professional		$649.95	$779.94	$1,817.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $991.15 / $1,156.33 / $2,510.90	Professional		$991.15	$1,156.33	$2,510.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,155.41 / $8,810.16 / $8,810.16	Facility		$4,155.41	$8,810.16	$8,810.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,968.65 / $10,968.65 / $12,463.80	Professional		$10,968.65	$10,968.65	$12,463.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,749.67 / $3,749.67 / $3,749.67	Professional		$3,749.67	$3,749.67	$3,749.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $532.04 / $1,460.43 / $1,734.51	Facility		$532.04	$1,460.43	$1,734.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $1,324.18 / $1,635.33	Professional		$966.65	$1,324.18	$1,635.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,117.91 / $3,117.91 / $3,117.91	Professional		$3,117.91	$3,117.91	$3,117.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $649.95 / $1,104.92 / $1,321.53	Professional		$649.95	$1,104.92	$1,321.53
United Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.96 / $838.56 / $1,651.91	Professional		$761.96	$838.56	$1,651.91