Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.70 / $335.70 / $2,150.21	Facility		$335.70	$335.70	$2,150.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.43 / $335.70 / $2,150.21	Professional		$272.43	$335.70	$2,150.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.93 / $1,050.21 / $2,365.65	Facility		$254.93	$1,050.21	$2,365.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.72 / $340.43 / $546.73	Professional		$281.72	$340.43	$546.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $882.31 / $1,575.56	Facility		$98.20	$882.31	$1,575.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $988.82 / $2,303.29	Professional		$100.00	$988.82	$2,303.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.57 / $373.57 / $398.37	Facility		$348.57	$373.57	$398.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $384.78	Professional		$272.70	$272.70	$384.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $325.36 / $390.43 / $819.78	Professional		$325.36	$390.43	$819.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.15 / $521.67 / $1,132.78	Professional		$447.15	$521.67	$1,132.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,172.33 / $3,539.94 / $3,539.94	Facility		$1,172.33	$3,539.94	$3,539.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,688.99 / $3,688.99 / $4,192.05	Professional		$3,688.99	$3,688.99	$4,192.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,335.45 / $1,335.45 / $1,335.45	Professional		$1,335.45	$1,335.45	$1,335.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.02 / $644.07 / $745.25	Facility		$180.02	$644.07	$745.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $373.57 / $709.34	Professional		$272.70	$373.57	$709.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,406.62 / $1,406.62 / $1,406.62	Professional		$1,406.62	$1,406.62	$1,406.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $325.36 / $553.11 / $596.20	Professional		$325.36	$553.11	$596.20
United Facility/Professional Facility Modifier Low / Median / High Price $46.06 / $253.19 / $276.36	Facility		$46.06	$253.19	$276.36
United Facility/Professional Professional Modifier Low / Median / High Price $257.82 / $278.85 / $745.25	Professional		$257.82	$278.85	$745.25