Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.05 / $348.05 / $1,674.00	Facility		$348.05	$348.05	$1,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.73 / $348.05 / $1,674.00	Professional		$273.73	$348.05	$1,674.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.30 / $889.43 / $1,841.70	Facility		$264.30	$889.43	$1,841.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.40 / $352.40 / $718.57	Professional		$352.40	$352.40	$718.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $686.89 / $1,226.58	Facility		$97.00	$686.89	$1,226.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $769.81 / $1,793.15	Professional		$100.00	$769.81	$1,793.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.37 / $499.82 / $499.82	Facility		$271.37	$499.82	$499.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $364.87 / $514.80	Professional		$364.87	$364.87	$514.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $208.92 / $638.21	Professional		$174.10	$208.92	$638.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.11 / $406.13 / $881.89	Professional		$348.11	$406.13	$881.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,298.07 / $3,076.44 / $3,076.44	Facility		$1,298.07	$3,076.44	$3,076.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,592.02 / $3,592.02 / $4,487.55	Professional		$3,592.02	$3,592.02	$4,487.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,413.53 / $1,413.53 / $1,413.53	Professional		$1,413.53	$1,413.53	$1,413.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.64 / $512.92 / $635.41	Facility		$186.64	$512.92	$635.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $499.82 / $635.41	Professional		$364.87	$499.82	$635.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,095.08 / $1,095.08 / $1,095.08	Professional		$1,095.08	$1,095.08	$1,095.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $295.97 / $464.15	Professional		$174.10	$295.97	$464.15
United Facility/Professional Facility Modifier Low / Median / High Price $184.14 / $382.03 / $445.50	Facility		$184.14	$382.03	$445.50
United Facility/Professional Professional Modifier Low / Median / High Price $272.13 / $295.24 / $580.19	Professional		$272.13	$295.24	$580.19