Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.67 / $777.67 / $3,735.87	Facility		$777.67	$777.67	$3,735.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.90 / $777.67 / $3,735.87	Professional		$566.90	$777.67	$3,735.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.48 / $1,683.27 / $4,110.14	Facility		$108.48	$1,683.27	$4,110.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $689.80 / $1,084.80 / $1,280.46	Professional		$689.80	$1,084.80	$1,280.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,532.95 / $2,737.40	Facility		$97.00	$1,532.95	$2,737.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,718.01 / $4,001.81	Professional		$100.00	$1,718.01	$4,001.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $743.69 / $809.08 / $809.08	Facility		$743.69	$809.08	$809.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $687.72 / $833.35	Professional		$687.72	$687.72	$833.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.85 / $1,294.82 / $1,553.78	Professional		$1,035.85	$1,294.82	$1,553.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.89 / $906.37 / $1,968.13	Professional		$776.89	$906.37	$1,968.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,794.99 / $6,150.40 / $6,150.40	Facility		$2,794.99	$6,150.40	$6,150.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,286.86 / $8,286.86 / $12,948.23	Professional		$8,286.86	$8,286.86	$12,948.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,654.38 / $2,654.38 / $2,654.38	Professional		$2,654.38	$2,654.38	$2,654.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $417.02 / $1,194.50 / $1,313.63	Facility		$417.02	$1,194.50	$1,313.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $809.08 / $1,232.43	Professional		$687.72	$809.08	$1,232.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,443.92 / $2,443.92 / $2,443.92	Professional		$2,443.92	$2,443.92	$2,443.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,035.85 / $1,035.85 / $1,035.85	Professional		$1,035.85	$1,035.85	$1,035.85
United Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $657.30 / $1,252.85	Professional		$608.04	$657.30	$1,252.85