Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.98 / $602.98 / $3,862.25	Facility		$602.98	$602.98	$3,862.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.43 / $602.98 / $3,862.25	Professional		$454.43	$602.98	$3,862.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.89 / $1,886.38 / $4,249.18	Facility		$457.89	$1,886.38	$4,249.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.55 / $602.98 / $1,099.97	Professional		$592.55	$602.98	$1,099.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,584.80 / $2,830.00	Facility		$97.00	$1,584.80	$2,830.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,776.12 / $4,137.17	Professional		$100.00	$1,776.12	$4,137.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $1,183.26	Facility		$765.11	$765.11	$1,183.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $558.53 / $815.65	Professional		$558.53	$558.53	$815.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $746.30 / $895.56 / $1,472.48	Professional		$746.30	$895.56	$1,472.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $803.17 / $937.03 / $2,034.70	Professional		$803.17	$937.03	$2,034.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,401.00 / $6,358.45 / $6,358.45	Facility		$2,401.00	$6,358.45	$6,358.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,425.38 / $6,425.38 / $8,269.50	Professional		$6,425.38	$6,425.38	$8,269.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,367.58 / $2,367.58 / $2,367.58	Professional		$2,367.58	$2,367.58	$2,367.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.35 / $1,183.26 / $1,338.62	Facility		$323.35	$1,183.26	$1,338.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $765.11 / $1,137.74	Professional		$558.53	$765.11	$1,137.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,526.60 / $2,526.60 / $2,526.60	Professional		$2,526.60	$2,526.60	$2,526.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $746.30 / $1,070.90 / $1,119.45	Professional		$746.30	$1,070.90	$1,119.45
United Facility/Professional Professional Modifier Low / Median / High Price $471.46 / $576.17 / $1,295.24	Professional		$471.46	$576.17	$1,295.24