Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.68 / $495.68 / $2,891.13	Facility		$495.68	$495.68	$2,891.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.92 / $495.68 / $2,891.13	Professional		$401.92	$495.68	$2,891.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.41 / $1,446.37 / $3,180.84	Facility		$376.41	$1,446.37	$3,180.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.88 / $501.88 / $999.87	Professional		$501.88	$501.88	$999.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,186.32 / $2,118.44	Facility		$98.20	$1,186.32	$2,118.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,329.56 / $3,096.96	Professional		$100.00	$1,329.56	$3,096.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.68 / $695.50 / $695.50	Facility		$468.68	$695.50	$695.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $507.72 / $741.45	Professional		$507.72	$507.72	$741.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.01 / $456.01 / $1,102.27	Professional		$380.01	$456.01	$1,102.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $601.24 / $701.44 / $1,523.13	Professional		$601.24	$701.44	$1,523.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,182.51 / $4,759.79 / $4,759.79	Facility		$2,182.51	$4,759.79	$4,759.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,447.03 / $5,447.03 / $6,955.95	Professional		$5,447.03	$5,447.03	$6,955.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,904.51 / $1,904.51 / $1,904.51	Professional		$1,904.51	$1,904.51	$1,904.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.81 / $870.40 / $1,015.59	Facility		$265.81	$870.40	$1,015.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $695.50 / $1,002.06	Professional		$507.72	$695.50	$1,002.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,891.31 / $1,891.31 / $1,891.31	Professional		$1,891.31	$1,891.31	$1,891.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $380.01 / $646.02 / $801.65	Professional		$380.01	$646.02	$801.65
United Facility/Professional Professional Modifier Low / Median / High Price $387.56 / $483.58 / $1,056.39	Professional		$387.56	$483.58	$1,056.39