Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.39 / $982.39 / $5,154.93	Facility		$982.39	$982.39	$5,154.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.75 / $982.39 / $5,154.93	Professional		$785.75	$982.39	$5,154.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.94 / $2,853.82 / $6,142.50	Facility		$1,081.94	$2,853.82	$6,142.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $824.57 / $1,442.58 / $1,702.38	Professional		$824.57	$1,442.58	$1,702.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,115.21 / $3,777.18	Facility		$97.00	$2,115.21	$3,777.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,370.59 / $5,521.89	Professional		$100.00	$2,370.59	$5,521.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $1,022.07	Facility		$1,022.07	$1,022.07	$1,022.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $868.76 / $1,052.73	Professional		$868.76	$868.76	$1,052.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.32 / $1,786.65 / $2,143.98	Professional		$1,429.32	$1,786.65	$2,143.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.99 / $1,250.66 / $2,715.71	Professional		$1,071.99	$1,250.66	$2,715.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.96 / $7,863.62 / $8,486.59	Facility		$3,715.96	$7,863.62	$8,486.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,234.45 / $9,234.45 / $13,399.88	Professional		$9,234.45	$9,234.45	$13,399.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,772.63 / $3,772.63 / $3,772.63	Professional		$3,772.63	$3,772.63	$3,772.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,031.51 / $1,786.65 / $1,840.31	Facility		$1,031.51	$1,786.65	$1,840.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $1,022.07 / $1,700.57	Professional		$868.76	$1,022.07	$1,700.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,372.24 / $3,372.24 / $3,372.24	Professional		$3,372.24	$3,372.24	$3,372.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,429.32 / $1,429.32 / $1,429.32	Professional		$1,429.32	$1,429.32	$1,429.32
United Facility/Professional Professional Modifier Low / Median / High Price $768.12 / $859.42 / $1,650.32	Professional		$768.12	$859.42	$1,650.32