Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $3,715.35	Facility		$467.74	$467.74	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $3,311.31	Professional		$380.19	$467.74	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $457.09 / $1,949.84	Facility		$354.81	$457.09	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $1,071.52	Professional		$478.63	$478.63	$1,071.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,479.11 / $1,995.26	Facility		$100.00	$1,479.11	$1,995.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,621.81 / $2,754.23	Professional		$831.76	$1,621.81	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $630.96	Professional		$457.09	$457.09	$630.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,047.13	Professional		$457.09	$575.44	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,380.38	Professional		$524.81	$794.33	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,456.54 / $6,456.54	Professional		$4,466.84	$6,456.54	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $870.96 / $1,148.15	Facility		$251.19	$870.96	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $831.76	Professional		$457.09	$457.09	$831.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $794.33	Professional		$457.09	$691.83	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $512.86 / $1,071.52	Facility		$64.57	$512.86	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $870.96	Professional		$371.54	$467.74	$870.96