Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.89 / $354.04 / $2,264.00	Facility		$310.89	$354.04	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.09 / $310.89 / $1,675.12	Professional		$189.09	$310.89	$1,675.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.35 / $570.00 / $1,261.42	Facility		$44.35	$570.00	$1,261.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.20 / $354.03 / $746.28	Professional		$223.20	$354.03	$746.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $307.17 / $1,366.00	Facility		$59.40	$307.17	$1,366.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $229.94 / $355.38 / $809.15	Professional		$229.94	$355.38	$809.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.28 / $1,254.00 / $2,653.88	Facility		$493.28	$1,254.00	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.59 / $345.64 / $844.66	Professional		$225.59	$345.64	$844.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $330.82 / $446.61	Professional		$109.48	$330.82	$446.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.43 / $324.89 / $579.50	Professional		$246.43	$324.89	$579.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $529.54 / $1,229.45 / $1,341.12	Facility		$529.54	$1,229.45	$1,341.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,730.06 / $1,730.06 / $2,091.60	Professional		$1,730.06	$1,730.06	$2,091.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.13 / $395.92 / $1,972.88	Facility		$213.13	$395.92	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $224.56 / $344.01 / $841.50	Professional		$224.56	$344.01	$841.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $963.89 / $963.89 / $963.89	Professional		$963.89	$963.89	$963.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $164.22 / $266.97 / $367.94	Professional		$164.22	$266.97	$367.94
United Facility/Professional Facility Modifier Low / Median / High Price $396.05 / $396.05 / $787.50	Facility		$396.05	$396.05	$787.50
United Facility/Professional Professional Modifier Low / Median / High Price $221.79 / $302.77 / $837.46	Professional		$221.79	$302.77	$837.46