Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $2,630.27	Facility		$524.81	$1,348.96	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $2,187.76	Professional		$218.78	$281.84	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $776.25 / $1,659.59	Facility		$151.36	$776.25	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $912.01	Professional		$331.13	$426.58	$912.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $776.25 / $3,162.28	Facility		$69.18	$776.25	$3,162.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $660.69	Professional		$194.98	$257.04	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $575.44 / $1,174.90	Facility		$229.09	$575.44	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $758.58	Professional		$169.82	$223.87	$758.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $446.68	Professional		$263.03	$331.13	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $575.44	Professional		$295.12	$363.08	$575.44
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 $1,659.59 / $2,454.71 / $2,454.71	Professional		$1,659.59	$2,454.71	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $398.11 / $977.24	Facility		$269.15	$398.11	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $676.08	Professional		$173.78	$331.13	$676.08
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 $263.03 / $295.12 / $446.68	Professional		$263.03	$295.12	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $331.13 / $331.13	Facility		$138.04	$331.13	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $630.96	Professional		$138.04	$138.04	$630.96