Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.58 / $425.58 / $2,725.89	Facility		$425.58	$425.58	$2,725.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.56 / $425.58 / $2,725.89	Professional		$340.56	$425.58	$2,725.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.18 / $1,331.37 / $2,998.98	Facility		$323.18	$1,331.37	$2,998.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.71 / $564.58 / $785.56	Professional		$414.71	$564.58	$785.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,118.53 / $1,997.38	Facility		$97.00	$1,118.53	$1,997.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,253.55 / $2,919.94	Professional		$100.00	$1,253.55	$2,919.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.89 / $511.94 / $511.94	Facility		$441.89	$511.94	$511.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $373.72 / $959.63	Professional		$373.72	$373.72	$959.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $364.79 / $437.75 / $1,039.25	Professional		$364.79	$437.75	$1,039.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $566.86 / $661.34 / $1,436.05	Professional		$566.86	$661.34	$1,436.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,680.31 / $4,487.66 / $4,487.66	Facility		$1,680.31	$4,487.66	$4,487.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,534.89 / $4,534.89 / $5,392.13	Professional		$4,534.89	$4,534.89	$5,392.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,594.61 / $1,594.61 / $1,594.61	Professional		$1,594.61	$1,594.61	$1,594.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.22 / $803.05 / $944.77	Facility		$228.22	$803.05	$944.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $373.72 / $803.05	Professional		$373.72	$373.72	$803.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,783.22 / $1,783.22 / $1,783.22	Professional		$1,783.22	$1,783.22	$1,783.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $364.79 / $620.14 / $755.82	Professional		$364.79	$620.14	$755.82
United Facility/Professional Professional Modifier Low / Median / High Price $336.39 / $426.01 / $953.20	Professional		$336.39	$426.01	$953.20