Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.24 / $312.00 / $1,402.71	Facility		$267.24	$312.00	$1,402.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $267.24 / $729.73	Professional		$213.80	$267.24	$729.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.21 / $738.57 / $1,543.25	Facility		$203.21	$738.57	$1,543.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.10 / $291.27 / $463.21	Professional		$214.10	$291.27	$463.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $575.55 / $1,027.78	Facility		$97.00	$575.55	$1,027.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $645.07 / $1,502.57	Professional		$100.00	$645.07	$1,502.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $386.21	Facility		$278.04	$278.04	$386.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $202.97 / $399.82	Professional		$202.97	$202.97	$399.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $292.27 / $350.74 / $534.79	Professional		$292.27	$350.74	$534.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.70 / $340.32 / $738.98	Professional		$291.70	$340.32	$738.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $836.76 / $2,319.50 / $2,319.50	Facility		$836.76	$2,319.50	$2,319.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,507.67 / $2,507.67 / $3,646.28	Professional		$2,507.67	$2,507.67	$3,646.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,026.53 / $1,026.53 / $1,026.53	Professional		$1,026.53	$1,026.53	$1,026.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $438.42 / $500.75	Facility		$143.31	$438.42	$500.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $278.04 / $444.53	Professional		$202.97	$278.04	$444.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $917.62 / $917.62 / $917.62	Professional		$917.62	$917.62	$917.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $292.27 / $388.94 / $437.55	Professional		$292.27	$388.94	$437.55
United Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $201.56 / $220.01	Facility		$36.67	$201.56	$220.01
United Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $221.99 / $574.98	Professional		$205.24	$221.99	$574.98