Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.63 / $420.04 / $429.86	Facility		$389.63	$420.04	$429.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.04 / $417.26 / $555.83	Professional		$360.04	$417.26	$555.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $408.60 / $876.00	Facility		$203.00	$408.60	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.88 / $436.95 / $824.46	Professional		$355.88	$436.95	$824.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $320.38 / $457.68 / $1,098.17	Professional		$320.38	$457.68	$1,098.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.44 / $529.36 / $1,101.68	Professional		$415.44	$529.36	$1,101.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $362.05 / $458.08 / $618.41	Professional		$362.05	$458.08	$618.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.15 / $448.46 / $783.16	Professional		$364.15	$448.46	$783.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,805.97 / $1,965.12 / $1,965.12	Facility		$1,805.97	$1,965.12	$1,965.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,505.33 / $3,260.25 / $10,080.00	Professional		$2,505.33	$3,260.25	$10,080.00
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 $389.63 / $488.24 / $671.26	Facility		$389.63	$488.24	$671.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $425.46 / $591.74 / $1,080.90	Professional		$425.46	$591.74	$1,080.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,325.35 / $1,325.35 / $1,353.00	Professional		$1,325.35	$1,325.35	$1,353.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $361.54 / $416.34 / $543.07	Professional		$361.54	$416.34	$543.07
United Facility/Professional Facility Modifier Low / Median / High Price $465.91 / $465.91 / $465.91	Facility		$465.91	$465.91	$465.91
United Facility/Professional Professional Modifier Low / Median / High Price $331.24 / $453.66 / $1,053.86	Professional		$331.24	$453.66	$1,053.86