Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.70 / $343.70 / $1,891.64	Facility		$343.70	$343.70	$1,891.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $343.70 / $1,891.64	Professional		$256.00	$343.70	$1,891.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.99 / $948.57 / $2,081.19	Facility		$260.99	$948.57	$2,081.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.85 / $347.99 / $709.60	Professional		$345.85	$347.99	$709.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $776.19 / $1,386.05	Facility		$97.00	$776.19	$1,386.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $869.91 / $2,026.29	Professional		$100.00	$869.91	$2,026.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.64 / $493.58 / $493.58	Facility		$306.64	$493.58	$493.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $360.31 / $526.19	Professional		$360.31	$360.31	$526.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $208.92 / $721.20	Professional		$174.10	$208.92	$721.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.38 / $458.95 / $996.57	Professional		$393.38	$458.95	$996.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.91 / $3,114.29 / $3,114.29	Facility		$1,548.91	$3,114.29	$3,114.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,353.09 / $3,433.55 / $4,291.95	Professional		$3,353.09	$3,433.55	$4,291.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,309.76 / $1,309.76 / $1,309.76	Professional		$1,309.76	$1,309.76	$1,309.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.31 / $569.48 / $664.48	Facility		$184.31	$569.48	$664.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $493.58 / $624.71	Professional		$360.31	$493.58	$624.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,237.46 / $1,237.46 / $1,237.46	Professional		$1,237.46	$1,237.46	$1,237.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $295.97 / $524.51	Professional		$174.10	$295.97	$524.51
United Facility/Professional Facility Modifier Low / Median / High Price $648.55 / $763.01 / $763.01	Facility		$648.55	$763.01	$763.01
United Facility/Professional Professional Modifier Low / Median / High Price $271.67 / $324.17 / $772.59	Professional		$271.67	$324.17	$772.59