Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $392.00 / $2,271.65	Facility		$66.48	$392.00	$2,271.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $66.48 / $2,128.33	Professional		$66.48	$66.48	$2,128.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.47 / $639.39 / $1,631.83	Facility		$288.47	$639.39	$1,631.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $102.78 / $430.30	Professional		$78.44	$102.78	$430.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $239.31 / $933.42	Facility		$92.60	$239.31	$933.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.70 / $168.14 / $273.01	Professional		$117.70	$168.14	$273.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.00 / $572.29 / $1,108.02	Facility		$213.00	$572.29	$1,108.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.57 / $220.04 / $961.80	Professional		$140.57	$220.04	$961.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $331.00 / $446.85	Professional		$75.12	$331.00	$446.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $380.65 / $721.58	Professional		$297.89	$380.65	$721.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.94 / $1,572.25 / $1,572.25	Facility		$575.94	$1,572.25	$1,572.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.00 / $1,655.00 / $2,482.50	Professional		$1,655.00	$1,655.00	$2,482.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $397.20 / $397.20 / $397.20	Professional		$397.20	$397.20	$397.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.99 / $397.20 / $951.18	Facility		$184.99	$397.20	$951.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.33 / $380.65 / $679.59	Professional		$176.33	$380.65	$679.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,161.81 / $1,161.81 / $1,161.81	Professional		$1,161.81	$1,161.81	$1,161.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $127.70 / $331.00	Professional		$76.62	$127.70	$331.00
United Facility/Professional Facility Modifier Low / Median / High Price $139.02 / $331.00 / $331.00	Facility		$139.02	$331.00	$331.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $139.02 / $657.63	Professional		$108.81	$139.02	$657.63