Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.82 / $350.82 / $2,247.07	Facility		$350.82	$350.82	$2,247.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.25 / $350.82 / $2,247.07	Professional		$265.25	$350.82	$2,247.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.41 / $1,097.50 / $2,472.17	Facility		$266.41	$1,097.50	$2,472.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.21 / $356.85 / $724.29	Professional		$355.21	$356.85	$724.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $922.06 / $1,646.53	Facility		$98.20	$922.06	$1,646.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,033.33 / $2,407.05	Professional		$100.00	$1,033.33	$2,407.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.27 / $503.81 / $503.81	Facility		$364.27	$503.81	$503.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $903.00	Professional		$367.78	$367.78	$903.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $327.50 / $393.00 / $856.69	Professional		$327.50	$393.00	$856.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.29 / $545.16 / $1,183.79	Professional		$467.29	$545.16	$1,183.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,580.98 / $3,699.35 / $3,699.35	Facility		$1,580.98	$3,699.35	$3,699.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,878.47 / $3,878.47 / $5,270.63	Professional		$3,878.47	$3,878.47	$5,270.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,241.95 / $1,241.95 / $1,241.95	Professional		$1,241.95	$1,241.95	$1,241.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.13 / $661.99 / $778.81	Facility		$188.13	$661.99	$778.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $700.94	Professional		$367.78	$367.78	$700.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,469.98 / $1,469.98 / $1,469.98	Professional		$1,469.98	$1,469.98	$1,469.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $327.50 / $556.75 / $623.04	Professional		$327.50	$556.75	$623.04
United Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $388.77 / $388.77	Facility		$388.77	$388.77	$388.77
United Facility/Professional Professional Modifier Low / Median / High Price $277.30 / $351.17 / $739.85	Professional		$277.30	$351.17	$739.85