Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $741.31 / $2,630.27	Facility		$125.89	$741.31	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $1,698.24	Professional		$190.55	$239.88	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $602.56 / $1,288.25	Facility		$147.91	$602.56	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $776.25	Professional		$204.17	$371.54	$776.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $724.44 / $3,467.37	Facility		$69.18	$724.44	$3,467.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $741.31	Professional		$204.17	$281.84	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $446.68 / $1,071.52	Facility		$194.98	$446.68	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $812.83	Professional		$169.82	$239.88	$812.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $346.74	Professional		$229.09	$263.03	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $446.68	Professional		$229.09	$281.84	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,949.84 / $1,949.84	Professional		$1,862.09	$1,949.84	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $354.81 / $758.58	Facility		$218.78	$354.81	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $724.44	Professional		$169.82	$281.84	$724.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $389.05	Professional		$204.17	$257.04	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $257.04 / $257.04	Facility		$107.15	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $512.86	Professional		$107.15	$154.88	$512.86