Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $933.25 / $3,090.30	Facility		$295.12	$933.25	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $2,137.96	Professional		$218.78	$295.12	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $758.58 / $1,621.81	Facility		$151.36	$758.58	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $134.90 / $524.81	Professional		$23.99	$134.90	$524.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $691.83 / $912.01	Facility		$100.00	$691.83	$912.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $537.03	Professional		$194.98	$245.47	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $575.44 / $1,096.48	Facility		$229.09	$575.44	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $933.25	Professional		$177.83	$213.80	$933.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $436.52	Professional		$181.97	$323.59	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $562.34	Professional		$295.12	$354.81	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $2,454.71	Professional		$1,621.81	$2,454.71	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $389.05 / $954.99	Facility		$257.04	$389.05	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $912.01	Professional		$177.83	$323.59	$912.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $323.59	Professional		$181.97	$251.19	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $323.59 / $323.59	Facility		$134.90	$323.59	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $616.60	Professional		$134.90	$138.04	$616.60