Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $602.56 / $1,819.70	Facility		$251.19	$602.56	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $1,174.90	Professional		$169.82	$229.09	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $43.65 / $977.24	Facility		$38.90	$43.65	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $691.83	Professional		$234.42	$316.23	$691.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $549.54 / $1,737.80	Facility		$69.18	$549.54	$1,737.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $794.33	Professional		$281.84	$363.08	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,230.27 / $3,890.45	Facility		$346.74	$1,230.27	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $616.60	Professional		$186.21	$295.12	$616.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $251.19 / $275.42	Professional		$107.15	$251.19	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $467.74	Professional		$190.55	$245.47	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,513.56	Professional		$1,258.93	$1,513.56	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $147.91 / $186.21	Professional		$32.36	$147.91	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $338.84 / $1,862.09	Facility		$213.80	$338.84	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $616.60	Professional		$186.21	$288.40	$616.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $281.84	Professional		$162.18	$218.78	$281.84
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 $169.82 / $234.42 / $562.34	Professional		$169.82	$234.42	$562.34