Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $660.69 / $1,819.70	Facility		$218.78	$660.69	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $1,348.96	Professional		$177.83	$229.09	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $41.69 / $1,096.48	Facility		$37.15	$41.69	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $707.95	Professional		$173.78	$263.03	$707.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $537.03 / $1,202.26	Facility		$69.18	$537.03	$1,202.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $724.44	Professional		$251.19	$323.59	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,288.25 / $3,890.45	Facility		$389.05	$1,288.25	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $630.96	Professional		$165.96	$275.42	$630.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $275.42 / $309.03	Professional		$81.28	$275.42	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $524.81	Professional		$208.93	$275.42	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $1,778.28	Professional		$1,412.54	$1,778.28	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $169.82 / $199.53	Professional		$38.02	$169.82	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $316.23 / $1,862.09	Facility		$181.97	$316.23	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $630.96	Professional		$165.96	$269.15	$630.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $257.04	Professional		$120.23	$199.53	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $660.69 / $1,000.00	Facility		$630.96	$660.69	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $630.96	Professional		$138.04	$229.09	$630.96