Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $2,818.38	Facility		$346.74	$346.74	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $2,511.89	Professional		$245.47	$363.08	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $331.13 / $1,412.54	Facility		$263.03	$331.13	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $724.44	Professional		$346.74	$346.74	$724.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,148.15 / $1,548.82	Facility		$100.00	$1,148.15	$1,548.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,230.27 / $2,089.30	Professional		$630.96	$1,230.27	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $489.78 / $489.78	Facility		$309.03	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $489.78	Professional		$363.08	$363.08	$489.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $794.33	Professional		$173.78	$218.78	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $1,071.52	Professional		$398.11	$660.69	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $4,265.80	Professional		$3,467.37	$4,265.80	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $588.84 / $831.76	Facility		$208.93	$588.84	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $630.96	Professional		$363.08	$363.08	$630.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $602.56	Professional		$173.78	$263.03	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $380.19 / $776.25	Facility		$46.77	$380.19	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $660.69	Professional		$269.15	$346.74	$660.69