Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $235.00 / $499.89	Facility		$49.94	$235.00	$499.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $49.94 / $1,945.85	Professional		$37.38	$49.94	$1,945.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.73 / $603.73 / $1,491.92	Facility		$263.73	$603.73	$1,491.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $57.08 / $326.82	Professional		$32.88	$57.08	$326.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $100.00 / $555.29	Facility		$59.30	$100.00	$555.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $36.97 / $128.63	Professional		$25.88	$36.97	$128.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.73 / $507.49 / $1,013.01	Facility		$194.73	$507.49	$1,013.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $112.78 / $546.64	Professional		$30.98	$112.78	$546.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $302.62 / $408.54	Professional		$45.46	$302.62	$408.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.36 / $348.01 / $665.76	Professional		$272.36	$348.01	$665.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $526.55 / $1,437.45 / $1,437.45	Facility		$526.55	$1,437.45	$1,437.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.10 / $1,513.10 / $2,269.65	Professional		$1,513.10	$1,513.10	$2,269.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.62 / $302.62 / $302.62	Professional		$302.62	$302.62	$302.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $306.85 / $786.80	Facility		$69.73	$306.85	$786.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $253.30 / $570.10	Professional		$31.33	$253.30	$570.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,062.19 / $1,062.19 / $1,062.19	Professional		$1,062.19	$1,062.19	$1,062.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $139.13 / $302.62	Professional		$83.48	$139.13	$302.62
United Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $302.62 / $302.62	Facility		$302.62	$302.62	$302.62
United Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $127.10 / $668.18	Professional		$24.50	$127.10	$668.18