Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.71 / $289.75 / $2,264.00	Facility		$254.71	$289.75	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $231.10 / $1,208.25	Professional		$168.78	$231.10	$1,208.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $570.00 / $921.44	Facility		$38.92	$570.00	$921.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.54 / $294.64 / $610.04	Professional		$206.54	$294.64	$610.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $328.46 / $1,610.84	Facility		$59.40	$328.46	$1,610.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $204.54 / $315.58 / $662.89	Professional		$204.54	$315.58	$662.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.73 / $1,204.39 / $2,653.88	Facility		$350.73	$1,204.39	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.04 / $301.25 / $696.37	Professional		$196.04	$301.25	$696.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $108.14 / $240.73 / $324.99	Professional		$108.14	$240.73	$324.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.76 / $237.13 / $422.26	Professional		$179.76	$237.13	$422.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $422.38 / $1,229.45 / $1,229.45	Facility		$422.38	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,257.98 / $1,257.98 / $1,527.83	Professional		$1,257.98	$1,257.98	$1,527.83
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 $195.63 / $319.73 / $1,972.88	Facility		$195.63	$319.73	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.24 / $292.57 / $647.19	Professional		$190.24	$292.57	$647.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $695.26 / $695.26 / $695.26	Professional		$695.26	$695.26	$695.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $217.17 / $267.73	Professional		$162.22	$217.17	$267.73
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 $171.37 / $231.84 / $658.06	Professional		$171.37	$231.84	$658.06