Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.36 / $873.36 / $5,594.06	Facility		$873.36	$873.36	$5,594.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.37 / $873.36 / $5,594.06	Professional		$642.37	$873.36	$5,594.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $663.21 / $2,732.23 / $6,154.49	Facility		$663.21	$2,732.23	$6,154.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.00 / $888.37 / $1,561.14	Professional		$841.00	$888.37	$1,561.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,295.42 / $4,098.96	Facility		$97.00	$2,295.42	$4,098.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,572.53 / $5,992.27	Professional		$100.00	$2,572.53	$5,992.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.63 / $908.63 / $1,899.27	Facility		$908.63	$908.63	$1,899.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $663.30 / $935.89	Professional		$663.30	$663.30	$935.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.94 / $1,297.13 / $2,132.73	Professional		$1,080.94	$1,297.13	$2,132.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,163.31 / $1,357.20 / $2,947.05	Professional		$1,163.31	$1,357.20	$2,947.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,107.99 / $7,783.07 / $9,209.54	Facility		$3,107.99	$7,783.07	$9,209.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,825.29 / $10,061.10 / $11,070.83	Professional		$9,825.29	$10,061.10	$11,070.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,473.70 / $3,473.70 / $3,473.70	Professional		$3,473.70	$3,473.70	$3,473.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $468.34 / $1,714.11 / $1,938.85	Facility		$468.34	$1,714.11	$1,938.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $908.63 / $1,648.02	Professional		$663.30	$908.63	$1,648.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,659.51 / $3,659.51 / $3,659.51	Professional		$3,659.51	$3,659.51	$3,659.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,080.94 / $1,551.08 / $1,621.41	Professional		$1,080.94	$1,551.08	$1,621.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,648.02 / $1,938.85 / $1,938.85	Facility		$1,648.02	$1,938.85	$1,938.85
United Facility/Professional Professional Modifier Low / Median / High Price $682.87 / $845.36 / $1,840.07	Professional		$682.87	$845.36	$1,840.07