Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.33 / $279.33 / $1,789.24	Facility		$279.33	$279.33	$1,789.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.85 / $279.33 / $1,789.24	Professional		$215.85	$279.33	$1,789.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.13 / $873.89 / $1,968.48	Facility		$212.13	$873.89	$1,968.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.70 / $283.29 / $460.78	Professional		$241.70	$283.29	$460.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $734.20 / $1,311.06	Facility		$97.00	$734.20	$1,311.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $822.81 / $1,916.60	Professional		$100.00	$822.81	$1,916.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.05 / $290.63 / $331.49	Facility		$290.05	$290.63	$331.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $212.16 / $299.35	Professional		$212.16	$212.16	$299.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $331.49 / $397.79 / $682.14	Professional		$331.49	$397.79	$682.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.08 / $434.09 / $942.60	Professional		$372.08	$434.09	$942.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,138.50 / $2,945.62 / $2,945.62	Facility		$1,138.50	$2,945.62	$2,945.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,350.60 / $4,455.00 / $4,650.97	Professional		$4,350.60	$4,455.00	$4,650.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $953.45 / $953.45 / $953.45	Professional		$953.45	$953.45	$953.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.80 / $524.97 / $629.15	Facility		$149.80	$524.97	$629.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $290.63 / $533.37	Professional		$212.16	$290.63	$533.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,170.48 / $1,170.48 / $1,170.48	Professional		$1,170.48	$1,170.48	$1,170.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $331.49 / $496.10 / $497.24	Professional		$331.49	$496.10	$497.24
United Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $444.22 / $444.22	Facility		$444.22	$444.22	$444.22
United Facility/Professional Professional Modifier Low / Median / High Price $210.69 / $232.04 / $563.48	Professional		$210.69	$232.04	$563.48