Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.87 / $444.87 / $4,144.67	Facility		$444.87	$444.87	$4,144.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.87 / $715.42 / $4,144.67	Professional		$444.87	$715.42	$4,144.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,539.65 / $2,294.54 / $5,839.70	Facility		$1,539.65	$2,294.54	$5,839.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.03 / $1,436.51 / $2,310.00	Professional		$567.03	$1,436.51	$2,310.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,700.70 / $3,036.96	Facility		$97.00	$1,700.70	$3,036.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,906.00 / $4,439.72	Professional		$100.00	$1,906.00	$4,439.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $3,510.00 / $3,510.00	Facility		$1,500.00	$3,510.00	$3,510.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.14 / $517.14 / $1,312.13	Professional		$517.14	$517.14	$1,312.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,149.21 / $1,436.51 / $1,723.81	Professional		$1,149.21	$1,436.51	$1,723.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $861.91 / $1,005.56 / $2,381.00	Professional		$861.91	$1,005.56	$2,381.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,297.53 / $5,682.97 / $6,823.42	Facility		$2,297.53	$5,682.97	$6,823.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,994.61 / $8,186.49 / $10,432.73	Professional		$7,994.61	$8,186.49	$10,432.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,363.47 / $3,363.47 / $3,363.47	Professional		$3,363.47	$3,363.47	$3,363.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $347.00 / $1,403.42 / $1,508.34	Facility		$347.00	$1,403.42	$1,508.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $517.14 / $517.14 / $1,366.97	Professional		$517.14	$517.14	$1,366.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,711.35 / $2,711.35 / $2,711.35	Professional		$2,711.35	$2,711.35	$2,711.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,149.21 / $1,365.00	Professional		$1,050.00	$1,149.21	$1,365.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.96 / $546.91 / $1,436.54	Professional		$496.96	$546.91	$1,436.54