Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.92 / $526.59 / $3,774.34	Facility		$454.92	$526.59	$3,774.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.92 / $610.73 / $1,268.06	Professional		$454.92	$610.73	$1,268.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.89 / $293.00 / $876.00	Facility		$182.89	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.50 / $527.96 / $1,054.13	Professional		$379.50	$527.96	$1,054.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $156.84 / $731.61	Facility		$59.40	$156.84	$731.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $274.88 / $400.89 / $1,001.92	Professional		$274.88	$400.89	$1,001.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.58 / $1,287.97 / $3,932.06	Facility		$1,079.58	$1,287.97	$3,932.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.12 / $726.61 / $1,771.13	Professional		$373.12	$726.61	$1,771.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $247.26 / $376.32 / $1,246.27	Professional		$247.26	$376.32	$1,246.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $677.26 / $872.99 / $1,418.59	Professional		$677.26	$872.99	$1,418.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,427.42 / $3,221.38 / $3,784.71	Facility		$1,427.42	$3,221.38	$3,784.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,008.69 / $4,008.69 / $5,946.53	Professional		$4,008.69	$4,008.69	$5,946.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $959.79	Professional		$32.34	$32.34	$959.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.34 / $704.50 / $1,153.95	Facility		$389.34	$704.50	$1,153.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $401.26 / $934.11 / $1,720.72	Professional		$401.26	$934.11	$1,720.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,938.85 / $1,938.85 / $1,938.85	Professional		$1,938.85	$1,938.85	$1,938.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $370.89 / $746.62 / $1,026.60	Professional		$370.89	$746.62	$1,026.60
United Facility/Professional Facility Modifier Low / Median / High Price $804.34 / $804.34 / $804.34	Facility		$804.34	$804.34	$804.34
United Facility/Professional Professional Modifier Low / Median / High Price $380.65 / $583.28 / $1,620.89	Professional		$380.65	$583.28	$1,620.89