Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,071.52 / $3,311.31	Facility		$478.63	$1,071.52	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $2,570.40	Professional		$309.03	$489.78	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $977.24 / $2,089.30	Facility		$354.81	$977.24	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $1,230.27	Professional		$467.74	$562.34	$1,230.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $1,258.93 / $5,623.41	Facility		$61.66	$1,258.93	$5,623.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $1,445.44	Professional		$331.13	$457.09	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $741.31 / $1,513.56	Facility		$316.23	$741.31	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $1,318.26	Professional		$263.03	$371.54	$1,318.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $562.34	Professional		$371.54	$426.58	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $724.44	Professional		$371.54	$457.09	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $3,090.30	Professional		$2,187.76	$3,090.30	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $524.81 / $1,230.27	Facility		$338.84	$524.81	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $457.09 / $1,202.26	Professional		$251.19	$457.09	$1,202.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $630.96	Professional		$331.13	$416.87	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $416.87 / $416.87	Facility		$173.78	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $831.76	Professional		$173.78	$239.88	$831.76