Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.10 / $857.10 / $4,498.64	Facility		$857.10	$857.10	$4,498.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.72 / $857.10 / $4,498.64	Professional		$685.72	$857.10	$4,498.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.86 / $2,365.55 / $4,949.34	Facility		$650.86	$2,365.55	$4,949.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.30 / $871.83 / $1,485.63	Professional		$720.30	$871.83	$1,485.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,845.94 / $3,296.32	Facility		$97.00	$1,845.94	$3,296.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,068.78 / $4,818.88	Professional		$100.00	$2,068.78	$4,818.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $1,238.63	Facility		$891.71	$891.71	$1,238.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $650.95 / $918.46	Professional		$650.95	$650.95	$918.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $937.39 / $1,124.86 / $1,715.11	Professional		$937.39	$1,124.86	$1,715.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $935.51 / $1,091.43 / $2,369.96	Professional		$935.51	$1,091.43	$2,369.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,683.72 / $7,438.91 / $7,438.91	Facility		$2,683.72	$7,438.91	$7,438.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,042.55 / $8,042.55 / $11,693.78	Professional		$8,042.55	$8,042.55	$11,693.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,292.23 / $3,292.23 / $3,292.23	Professional		$3,292.23	$3,292.23	$3,292.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $482.60 / $1,484.06 / $1,605.97	Facility		$482.60	$1,484.06	$1,605.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $891.71 / $1,484.06	Professional		$650.95	$891.71	$1,484.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,942.91 / $2,942.91 / $2,942.91	Professional		$2,942.91	$2,942.91	$2,942.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $937.39 / $1,247.34 / $1,403.27	Professional		$937.39	$1,247.34	$1,403.27
United Facility/Professional Professional Modifier Low / Median / High Price $682.22 / $801.29 / $2,131.08	Professional		$682.22	$801.29	$2,131.08