Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.17 / $422.17 / $2,704.07	Facility		$422.17	$422.17	$2,704.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.12 / $422.17 / $2,704.07	Professional		$307.12	$422.17	$2,704.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.58 / $1,320.72 / $2,974.99	Facility		$320.58	$1,320.72	$2,974.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.61 / $426.28 / $758.00	Professional		$397.61	$426.28	$758.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,109.57 / $1,981.38	Facility		$97.00	$1,109.57	$1,981.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,243.52 / $2,896.57	Professional		$100.00	$1,243.52	$2,896.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.25 / $527.25 / $842.36	Facility		$527.25	$527.25	$842.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $384.89 / $562.08	Professional		$384.89	$384.89	$562.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $522.51 / $627.01 / $1,030.93	Professional		$522.51	$627.01	$1,030.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.33 / $656.05 / $1,424.56	Professional		$562.33	$656.05	$1,424.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,378.44 / $3,676.89 / $4,451.75	Facility		$1,378.44	$3,676.89	$4,451.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,607.85 / $4,607.85 / $5,281.80	Professional		$4,607.85	$4,607.85	$5,281.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,908.30 / $1,908.30 / $1,908.30	Professional		$1,908.30	$1,908.30	$1,908.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.39 / $842.36 / $937.21	Facility		$226.39	$842.36	$937.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $527.25 / $734.53	Professional		$384.89	$527.25	$734.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,768.94 / $1,768.94 / $1,768.94	Professional		$1,768.94	$1,768.94	$1,768.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $522.51 / $749.77 / $783.77	Professional		$522.51	$749.77	$783.77
United Facility/Professional Professional Modifier Low / Median / High Price $333.70 / $422.59 / $937.21	Professional		$333.70	$422.59	$937.21