Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.39 / $290.79 / $2,264.00	Facility		$256.39	$290.79	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.68 / $256.39 / $1,507.79	Professional		$170.68	$256.39	$1,507.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.29 / $570.00 / $1,209.06	Facility		$49.29	$570.00	$1,209.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $282.76 / $641.94	Professional		$202.50	$282.76	$641.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $271.16 / $1,219.80	Facility		$59.40	$271.16	$1,219.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $207.12 / $319.74 / $681.54	Professional		$207.12	$319.74	$681.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.44 / $1,254.00 / $2,653.88	Facility		$434.44	$1,254.00	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.49 / $297.98 / $751.49	Professional		$195.49	$297.98	$751.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $141.11 / $315.77 / $426.30	Professional		$141.11	$315.77	$426.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.77 / $310.64 / $550.80	Professional		$235.77	$310.64	$550.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $507.45 / $1,229.45 / $1,283.11	Facility		$507.45	$1,229.45	$1,283.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,605.02 / $1,605.02 / $2,007.68	Professional		$1,605.02	$1,605.02	$2,007.68
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 $190.84 / $332.35 / $1,972.88	Facility		$190.84	$332.35	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.49 / $293.99 / $736.16	Professional		$195.49	$293.99	$736.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $867.60 / $867.60 / $867.60	Professional		$867.60	$867.60	$867.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $283.37 / $351.19	Professional		$211.67	$283.37	$351.19
United Facility/Professional Facility Modifier Low / Median / High Price $396.05 / $668.97 / $668.97	Facility		$396.05	$668.97	$668.97
United Facility/Professional Professional Modifier Low / Median / High Price $177.82 / $263.45 / $882.80	Professional		$177.82	$263.45	$882.80