Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.28 / $451.28 / $2,796.02	Facility		$451.28	$451.28	$2,796.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.97 / $451.28 / $2,796.02	Professional		$328.97	$451.28	$2,796.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.24 / $1,365.61 / $3,076.12	Facility		$343.24	$1,365.61	$3,076.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.77 / $459.77 / $910.20	Professional		$459.77	$459.77	$910.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,147.30 / $2,048.75	Facility		$97.00	$1,147.30	$2,048.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,285.80 / $2,995.06	Professional		$100.00	$1,285.80	$2,995.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.26 / $644.36 / $644.36	Facility		$453.26	$644.36	$644.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $470.38 / $663.69	Professional		$470.38	$470.38	$663.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $417.30 / $500.76 / $1,065.98	Professional		$417.30	$500.76	$1,065.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.44 / $678.35 / $1,472.99	Professional		$581.44	$678.35	$1,472.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,986.78 / $4,603.08 / $4,603.08	Facility		$1,986.78	$4,603.08	$4,603.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,651.54 / $4,651.54 / $5,635.35	Professional		$4,651.54	$4,651.54	$5,635.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,540.32 / $1,540.32 / $1,540.32	Professional		$1,540.32	$1,540.32	$1,540.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $823.71 / $982.18	Facility		$242.00	$823.71	$982.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $644.36 / $829.52	Professional		$470.38	$644.36	$829.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,829.09 / $1,829.09 / $1,829.09	Professional		$1,829.09	$1,829.09	$1,829.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $417.30 / $709.41 / $775.26	Professional		$417.30	$709.41	$775.26
United Facility/Professional Professional Modifier Low / Median / High Price $352.85 / $440.26 / $920.59	Professional		$352.85	$440.26	$920.59