Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,445.44 / $1,778.28	Facility		$151.36	$1,445.44	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $380.19 / $2,884.03	Professional		$131.83	$380.19	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,023.29 / $2,187.76	Facility		$204.17	$1,023.29	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,174.90	Professional		$436.52	$616.60	$1,174.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,000.00 / $1,230.27	Facility		$316.23	$1,000.00	$1,230.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $436.52	Professional		$67.61	$93.33	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $776.25 / $1,479.11	Facility		$288.40	$776.25	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $288.40 / $912.01	Professional		$95.50	$288.40	$912.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $436.52 / $588.84	Professional		$141.25	$436.52	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $776.25	Professional		$398.11	$478.63	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,311.31 / $3,311.31	Professional		$2,187.76	$3,311.31	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $524.81 / $1,288.25	Facility		$208.93	$524.81	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $380.19 / $870.96	Professional		$102.33	$380.19	$870.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $436.52	Professional		$141.25	$199.53	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $436.52 / $436.52	Facility		$186.21	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $186.21 / $831.76	Professional		$74.13	$186.21	$831.76