Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.21 / $852.21 / $4,471.79	Facility		$852.21	$852.21	$4,471.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.19 / $852.21 / $4,471.79	Professional		$677.19	$852.21	$4,471.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $647.15 / $2,352.07 / $4,919.85	Facility		$647.15	$2,352.07	$4,919.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $795.58 / $954.08 / $1,476.82	Professional		$795.58	$954.08	$1,476.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,834.93 / $3,276.65	Facility		$97.00	$1,834.93	$3,276.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,056.44 / $4,790.13	Professional		$100.00	$2,056.44	$4,790.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.63 / $886.63 / $1,231.25	Facility		$886.63	$886.63	$1,231.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $647.24 / $945.19	Professional		$647.24	$647.24	$945.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $828.47 / $994.16 / $1,704.89	Professional		$828.47	$994.16	$1,704.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $929.94 / $1,084.93 / $2,355.85	Professional		$929.94	$1,084.93	$2,355.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,667.81 / $7,396.37 / $7,396.37	Facility		$2,667.81	$7,396.37	$7,396.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,010.83 / $8,010.83 / $11,624.25	Professional		$8,010.83	$8,010.83	$11,624.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,272.64 / $3,272.64 / $3,272.64	Professional		$3,272.64	$3,272.64	$3,272.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $1,397.69 / $1,596.41	Facility		$457.00	$1,397.69	$1,596.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $886.63 / $1,475.21	Professional		$647.24	$886.63	$1,475.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,925.34 / $2,925.34 / $2,925.34	Professional		$2,925.34	$2,925.34	$2,925.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $828.47 / $1,239.92 / $1,242.71	Professional		$828.47	$1,239.92	$1,242.71
United Facility/Professional Professional Modifier Low / Median / High Price $673.62 / $796.43 / $1,549.90	Professional		$673.62	$796.43	$1,549.90