Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.19 / $455.10 / $455.10	Facility		$409.19	$455.10	$455.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.19 / $477.80 / $1,042.66	Professional		$409.19	$477.80	$1,042.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.38 / $568.38 / $2,572.29	Facility		$568.38	$568.38	$2,572.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.23 / $580.15 / $1,074.72	Professional		$421.23	$580.15	$1,074.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $324.77 / $474.87 / $1,066.29	Professional		$324.77	$474.87	$1,066.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.26 / $569.26 / $569.26	Facility		$569.26	$569.26	$569.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.70 / $574.40 / $1,167.43	Professional		$440.70	$574.40	$1,167.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $361.90 / $558.38 / $753.81	Professional		$361.90	$558.38	$753.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.45 / $568.34 / $1,252.00	Professional		$455.45	$568.34	$1,252.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.21 / $2,255.57 / $2,454.17	Facility		$1,154.21	$2,255.57	$2,454.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,154.82 / $3,624.69 / $4,047.83	Professional		$3,154.82	$3,624.69	$4,047.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $462.82 / $609.17 / $877.14	Facility		$462.82	$609.17	$877.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $451.13 / $640.66 / $1,242.84	Professional		$451.13	$640.66	$1,242.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,424.09 / $1,424.09 / $1,424.09	Professional		$1,424.09	$1,424.09	$1,424.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $361.90 / $451.18 / $620.38	Professional		$361.90	$451.18	$620.38
United Facility/Professional Professional Modifier Low / Median / High Price $345.79 / $459.41 / $940.48	Professional		$345.79	$459.41	$940.48