Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.93 / $1,353.33 / $2,902.26	Facility		$303.93	$1,353.33	$2,902.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.69 / $328.31 / $2,299.11	Professional		$221.69	$328.31	$2,299.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.61 / $690.70 / $1,762.77	Facility		$306.61	$690.70	$1,762.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.57 / $323.95 / $569.24	Professional		$176.57	$323.95	$569.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $3,678.71	Facility		$58.90	$100.00	$3,678.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $254.80 / $597.80	Professional		$178.36	$254.80	$597.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.85 / $503.40 / $1,233.80	Facility		$249.85	$503.40	$1,233.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.66 / $426.83 / $565.34	Professional		$237.66	$426.83	$565.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $357.56 / $393.32	Professional		$10.27	$357.56	$393.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.05 / $357.56 / $786.63	Professional		$286.05	$357.56	$786.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $622.15 / $1,698.41 / $1,698.41	Facility		$622.15	$1,698.41	$1,698.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.78 / $178.78 / $178.78	Professional		$178.78	$178.78	$178.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $357.56 / $887.81	Facility		$189.51	$357.56	$887.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.63 / $359.39 / $565.34	Professional		$264.63	$359.39	$565.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,255.03 / $1,255.03 / $1,255.03	Professional		$1,255.03	$1,255.03	$1,255.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $17.46 / $321.80	Professional		$10.48	$17.46	$321.80
United Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $206.43 / $717.62	Professional		$150.18	$206.43	$717.62