Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.78 / $288.77 / $2,264.00	Facility		$254.78	$288.77	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.08 / $265.64 / $1,826.23	Professional		$214.08	$265.64	$1,826.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.77 / $570.00 / $1,428.30	Facility		$62.77	$570.00	$1,428.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.41 / $333.99 / $747.36	Professional		$263.41	$333.99	$747.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $248.70 / $1,666.13	Facility		$59.40	$248.70	$1,666.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $259.83 / $396.51 / $702.27	Professional		$259.83	$396.51	$702.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.34 / $4,112.77 / $9,136.87	Facility		$526.34	$4,112.77	$9,136.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.05 / $415.25 / $949.55	Professional		$268.05	$415.25	$949.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.63 / $373.71 / $504.51	Professional		$148.63	$373.71	$504.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $278.76 / $367.64 / $655.14	Professional		$278.76	$367.64	$655.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $599.67 / $4,042.45 / $4,042.45	Facility		$599.67	$4,042.45	$4,042.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,920.89 / $1,920.89 / $2,369.63	Professional		$1,920.89	$1,920.89	$2,369.63
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 $243.21 / $415.17 / $6,839.22	Facility		$243.21	$415.17	$6,839.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.72 / $415.08 / $940.96	Professional		$263.72	$415.08	$940.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,050.83 / $1,050.83 / $1,050.83	Professional		$1,050.83	$1,050.83	$1,050.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $222.95 / $311.89 / $415.61	Professional		$222.95	$311.89	$415.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,372.92 / $1,372.92 / $1,372.92	Facility		$1,372.92	$1,372.92	$1,372.92
United Facility/Professional Professional Modifier Low / Median / High Price $249.44 / $344.12 / $971.89	Professional		$249.44	$344.12	$971.89