Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.68 / $252.62 / $2,264.00	Facility		$222.68	$252.62	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.85 / $214.18 / $1,281.98	Professional		$150.85	$214.18	$1,281.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.75 / $570.00 / $876.00	Facility		$41.75	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.24 / $254.46 / $537.85	Professional		$191.24	$254.46	$537.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $280.31 / $1,246.28	Facility		$59.40	$280.31	$1,246.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $182.80 / $282.32 / $592.00	Professional		$182.80	$282.32	$592.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.85 / $1,204.39 / $2,653.88	Facility		$314.85	$1,204.39	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.79 / $258.75 / $644.41	Professional		$171.79	$258.75	$644.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $222.65 / $222.65 / $300.58	Professional		$222.65	$222.65	$300.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $220.15 / $420.02	Professional		$166.75	$220.15	$420.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $378.04 / $1,229.45 / $1,229.45	Facility		$378.04	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,162.32 / $1,162.32 / $1,418.93	Professional		$1,162.32	$1,162.32	$1,418.93
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 $181.49 / $284.14 / $1,972.88	Facility		$181.49	$284.14	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.86 / $252.82 / $643.04	Professional		$168.86	$252.82	$643.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $737.68 / $737.68 / $737.68	Professional		$737.68	$737.68	$737.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $180.08 / $202.59 / $247.61	Professional		$180.08	$202.59	$247.61
United Facility/Professional Facility Modifier Low / Median / High Price $396.05 / $396.05 / $396.05	Facility		$396.05	$396.05	$396.05
United Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $230.97 / $620.66	Professional		$150.63	$230.97	$620.66