Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $562.34	Facility		$263.03	$263.03	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $562.34	Professional		$147.91	$223.87	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $380.19 / $954.99	Facility		$302.00	$380.19	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $363.08	Professional		$213.80	$269.15	$363.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,000.00 / $1,318.26	Facility		$100.00	$1,000.00	$1,318.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $676.08	Professional		$302.00	$489.78	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $309.03	Professional		$229.09	$229.09	$309.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $354.81 / $416.87	Professional		$131.83	$354.81	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $389.05 / $707.95	Professional		$93.33	$389.05	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $147.91 / $380.19	Facility		$93.33	$147.91	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $309.03	Professional		$213.80	$229.09	$309.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $389.05 / $602.56	Professional		$107.15	$389.05	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $208.93 / $524.81	Facility		$34.67	$208.93	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $457.09	Professional		$141.25	$213.80	$457.09