Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $977.24	Professional		$275.42	$354.81	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $2,041.74	Facility		$398.11	$467.74	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $851.14	Professional		$338.84	$426.58	$851.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $812.83	Professional		$295.12	$426.58	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $851.14	Professional		$316.23	$407.38	$851.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $588.84	Professional		$257.04	$436.52	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $776.25	Professional		$346.74	$436.52	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,818.38 / $2,818.38	Professional		$2,511.89	$2,818.38	$2,818.38
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 $331.13 / $457.09 / $707.95	Facility		$331.13	$457.09	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $870.96	Professional		$316.23	$416.87	$870.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $489.78	Professional		$257.04	$380.19	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $660.69	Professional		$251.19	$338.84	$660.69