Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.89 / $303.33 / $303.33	Facility		$272.89	$303.33	$303.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.89 / $313.51 / $451.21	Professional		$272.89	$313.51	$451.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $370.40 / $1,676.31	Facility		$370.40	$370.40	$1,676.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.25 / $380.07 / $702.83	Professional		$281.25	$380.07	$702.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $212.95 / $311.58 / $699.63	Professional		$212.95	$311.58	$699.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.09 / $370.09 / $370.09	Facility		$370.09	$370.09	$370.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.79 / $383.08 / $793.56	Professional		$293.79	$383.08	$793.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $237.40 / $368.04 / $496.85	Professional		$237.40	$368.04	$496.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.69 / $372.90 / $662.47	Professional		$298.69	$372.90	$662.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $748.13 / $1,472.94 / $1,610.25	Facility		$748.13	$1,472.94	$1,610.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,326.30 / $2,326.30 / $2,647.05	Professional		$2,326.30	$2,326.30	$2,647.05
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 $303.33 / $399.60 / $562.55	Facility		$303.33	$399.60	$562.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $433.38 / $818.93	Professional		$301.45	$433.38	$818.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $964.52 / $964.52 / $964.52	Professional		$964.52	$964.52	$964.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $237.40 / $297.41 / $408.94	Professional		$237.40	$297.41	$408.94
United Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $303.51 / $647.28	Professional		$230.00	$303.51	$647.28