Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.08 / $927.08 / $5,706.66	Facility		$927.08	$927.08	$5,706.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.36 / $927.08 / $5,706.66	Professional		$752.36	$927.08	$5,706.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $2,787.24 / $6,278.42	Facility		$704.00	$2,787.24	$6,278.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $896.41 / $943.02 / $1,664.01	Professional		$896.41	$943.02	$1,664.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,341.65 / $4,181.51	Facility		$97.00	$2,341.65	$4,181.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,624.32 / $6,112.90	Professional		$100.00	$2,624.32	$6,112.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,707.27	Facility		$1,260.83	$1,260.83	$1,707.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $920.41 / $1,344.11	Professional		$920.41	$920.41	$1,344.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.72 / $1,323.26 / $2,175.67	Professional		$1,102.72	$1,323.26	$2,175.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,186.73 / $1,384.52 / $3,006.39	Professional		$1,186.73	$1,384.52	$3,006.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,632.20 / $9,394.98 / $9,394.98	Facility		$3,632.20	$9,394.98	$9,394.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,493.87 / $9,493.87 / $12,340.05	Professional		$9,493.87	$9,493.87	$12,340.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,522.78 / $3,522.78 / $3,522.78	Professional		$3,522.78	$3,522.78	$3,522.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $497.15 / $1,729.01 / $1,977.89	Facility		$497.15	$1,729.01	$1,977.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $1,260.83 / $1,648.36	Professional		$920.41	$1,260.83	$1,648.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,733.17 / $3,733.17 / $3,733.17	Professional		$3,733.17	$3,733.17	$3,733.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,102.72 / $1,582.31 / $1,654.08	Professional		$1,102.72	$1,582.31	$1,654.08
United Facility/Professional Professional Modifier Low / Median / High Price $724.87 / $904.45 / $1,784.02	Professional		$724.87	$904.45	$1,784.02