Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,071.52 / $2,754.23	Facility		$295.12	$1,071.52	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $1,698.24	Professional		$181.97	$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 $269.15 / $338.84 / $758.58	Professional		$269.15	$338.84	$758.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $776.25 / $3,467.37	Facility		$61.66	$776.25	$3,467.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $891.25	Professional		$204.17	$281.84	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $457.09 / $1,071.52	Facility		$194.98	$457.09	$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 $23.44 / $257.04 / $346.74	Professional		$23.44	$257.04	$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 $1,348.96 / $1,949.84 / $1,949.84	Professional		$1,348.96	$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 $208.93 / $323.59 / $758.58	Facility		$208.93	$323.59	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $741.31	Professional		$169.82	$281.84	$741.31
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 $23.44 / $32.36 / $257.04	Professional		$23.44	$32.36	$257.04
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 / $147.91 / $512.86	Professional		$107.15	$147.91	$512.86