Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.38 / $2,784.38 / $2,812.22	Facility		$347.38	$2,784.38	$2,812.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.38 / $2,784.38 / $2,812.22	Professional		$347.38	$2,784.38	$2,812.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.54 / $615.01 / $1,040.55	Facility		$516.54	$615.01	$1,040.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.35 / $710.20 / $2,784.38	Professional		$437.35	$710.20	$2,784.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $96.26 / $214.49	Professional		$67.38	$96.26	$214.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,626.77 / $2,626.77 / $2,784.38	Facility		$2,626.77	$2,626.77	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,020.79	Professional		$2,784.38	$2,784.38	$3,020.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $103.32 / $126.80	Professional		$93.93	$103.32	$126.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,505.94 / $3,480.48 / $6,069.95	Professional		$2,505.94	$3,480.48	$6,069.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $3,703.75 / $4,465.51	Facility		$240.00	$3,703.75	$4,465.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $430.31 / $6,987.21 / $9,193.70	Professional		$430.31	$6,987.21	$9,193.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $192.55 / $192.55	Professional		$103.32	$192.55	$192.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,739.00 / $2,784.38 / $4,554.64	Facility		$2,739.00	$2,784.38	$4,554.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $2,784.38 / $2,784.38	Professional		$120.33	$2,784.38	$2,784.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $227.24 / $227.24 / $227.24	Professional		$227.24	$227.24	$227.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $112.72 / $3,062.82	Professional		$93.93	$112.72	$3,062.82
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $5,286.98	Professional		$2,784.38	$2,784.38	$5,286.98