Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.26 / $241.26 / $1,545.30	Facility		$241.26	$241.26	$1,545.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.82 / $241.26 / $1,545.30	Professional		$198.82	$241.26	$1,545.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.20 / $754.75 / $1,700.12	Facility		$183.20	$754.75	$1,700.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.96 / $235.22 / $373.57	Professional		$195.96	$235.22	$373.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $634.10 / $1,132.31	Facility		$98.20	$634.10	$1,132.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $710.65 / $1,655.33	Professional		$100.00	$710.65	$1,655.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.34 / $251.00 / $286.30	Facility		$250.34	$251.00	$286.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $183.23 / $258.52	Professional		$183.23	$183.23	$258.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $250.24 / $300.29 / $589.15	Professional		$250.24	$300.29	$589.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.35 / $374.91 / $814.10	Professional		$321.35	$374.91	$814.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $815.43 / $2,126.12 / $2,544.05	Facility		$815.43	$2,126.12	$2,544.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,960.55 / $3,031.61 / $3,844.73	Professional		$2,960.55	$3,031.61	$3,844.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $910.89 / $910.89 / $910.89	Professional		$910.89	$910.89	$910.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.38 / $444.34 / $543.38	Facility		$129.38	$444.34	$543.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $251.00 / $392.28	Professional		$183.23	$251.00	$392.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,010.89 / $1,010.89 / $1,010.89	Professional		$1,010.89	$1,010.89	$1,010.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $250.24 / $425.41 / $428.47	Professional		$250.24	$425.41	$428.47
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $185.29 / $200.40 / $535.60	Professional		$185.29	$200.40	$535.60