Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.70 / $481.70 / $2,713.54	Facility		$481.70	$481.70	$2,713.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.79 / $481.70 / $2,713.54	Professional		$381.79	$481.70	$2,713.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.79 / $1,357.49 / $2,985.37	Facility		$365.79	$1,357.49	$2,985.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.36 / $510.00 / $882.42	Professional		$475.36	$510.00	$882.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,113.47 / $1,988.33	Facility		$97.00	$1,113.47	$1,988.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,247.86 / $2,906.69	Professional		$100.00	$1,247.86	$2,906.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.74 / $528.74 / $932.00	Facility		$528.74	$528.74	$932.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.98 / $385.98 / $563.66	Professional		$385.98	$385.98	$563.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $502.73 / $603.28 / $1,034.53	Professional		$502.73	$603.28	$1,034.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.29 / $658.34 / $1,429.53	Professional		$564.29	$658.34	$1,429.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,926.15 / $4,467.28 / $4,467.28	Facility		$1,926.15	$4,467.28	$4,467.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,528.81 / $4,528.81 / $6,015.15	Professional		$4,528.81	$4,528.81	$6,015.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,802.58 / $1,802.58 / $1,802.58	Professional		$1,802.58	$1,802.58	$1,802.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $852.06 / $953.21	Facility		$258.31	$852.06	$953.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.98 / $528.74 / $818.33	Professional		$385.98	$528.74	$818.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,775.14 / $1,775.14 / $1,775.14	Professional		$1,775.14	$1,775.14	$1,775.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $502.73 / $752.38 / $754.10	Professional		$502.73	$752.38	$754.10
United Facility/Professional Professional Modifier Low / Median / High Price $376.63 / $441.66 / $940.48	Professional		$376.63	$441.66	$940.48