Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $630.96 / $870.96	Facility		$66.07	$630.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $245.47 / $1,995.26	Professional		$66.07	$245.47	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $691.83 / $1,513.56	Facility		$138.04	$691.83	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $125.89 / $489.78	Professional		$30.20	$125.89	$489.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $239.88 / $851.14	Facility		$97.72	$239.88	$851.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $218.78	Professional		$51.29	$70.79	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $524.81 / $1,023.29	Facility		$194.98	$524.81	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $199.53 / $616.60	Professional		$47.86	$199.53	$616.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $302.00 / $407.38	Professional		$69.18	$302.00	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $524.81	Professional		$269.15	$331.13	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $2,238.72	Professional		$1,513.56	$2,238.72	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $363.08 / $891.25	Facility		$95.50	$363.08	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $245.47 / $602.56	Professional		$50.12	$245.47	$602.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $302.00	Professional		$69.18	$97.72	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $302.00 / $302.00	Facility		$125.89	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $125.89 / $575.44	Professional		$37.15	$125.89	$575.44