Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $4,073.80	Facility		$426.58	$426.58	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $3,548.13	Professional		$302.00	$426.58	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $407.38 / $1,862.09	Facility		$323.59	$407.38	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $1,023.29	Professional		$426.58	$426.58	$1,023.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,621.81 / $2,187.76	Facility		$100.00	$1,621.81	$2,187.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $3,019.95	Professional		$912.01	$1,778.28	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $524.81	Professional		$389.05	$389.05	$524.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,148.15	Professional		$524.81	$660.69	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,513.56	Professional		$575.44	$851.14	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,248.07 / $5,248.07	Professional		$4,570.88	$5,248.07	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $831.76 / $1,148.15	Facility		$223.87	$831.76	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $741.31	Professional		$389.05	$389.05	$741.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $891.25	Professional		$524.81	$758.58	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $467.74 / $954.99	Facility		$57.54	$467.74	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $954.99	Professional		$331.13	$426.58	$954.99