Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.78 / $801.78 / $4,208.21	Facility		$801.78	$801.78	$4,208.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.46 / $801.78 / $4,208.21	Professional		$641.46	$801.78	$4,208.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $608.86 / $2,212.90 / $4,629.78	Facility		$608.86	$2,212.90	$4,629.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.82 / $811.81 / $1,389.78	Professional		$673.82	$811.81	$1,389.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,726.77 / $3,083.52	Facility		$97.00	$1,726.77	$3,083.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,935.22 / $4,507.79	Professional		$100.00	$1,935.22	$4,507.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $967.10 / $1,158.67	Facility		$967.10	$967.10	$1,158.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $705.98 / $996.11	Professional		$705.98	$705.98	$996.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $876.88 / $1,052.26 / $1,604.37	Professional		$876.88	$1,052.26	$1,604.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $875.11 / $1,020.96 / $2,216.94	Professional		$875.11	$1,020.96	$2,216.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,510.58 / $6,958.79 / $6,958.79	Facility		$2,510.58	$6,958.79	$6,958.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,523.58 / $7,523.58 / $10,938.90	Professional		$7,523.58	$7,523.58	$10,938.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,079.81 / $3,079.81 / $3,079.81	Professional		$3,079.81	$3,079.81	$3,079.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $451.45 / $1,388.25 / $1,502.35	Facility		$451.45	$1,388.25	$1,502.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $967.10 / $1,388.25	Professional		$705.98	$967.10	$1,388.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,752.91 / $2,752.91 / $2,752.91	Professional		$2,752.91	$2,752.91	$2,752.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $876.88 / $1,166.82 / $1,312.67	Professional		$876.88	$1,166.82	$1,312.67
United Facility/Professional Professional Modifier Low / Median / High Price $626.90 / $721.15 / $1,458.52	Professional		$626.90	$721.15	$1,458.52