Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.10 / $369.10 / $2,364.17	Facility		$369.10	$369.10	$2,364.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.92 / $369.10 / $2,364.17	Professional		$274.92	$369.10	$2,364.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.29 / $1,154.70 / $2,601.02	Facility		$280.29	$1,154.70	$2,601.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.20 / $373.72 / $650.05	Professional		$350.20	$373.72	$650.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $970.09 / $1,732.31	Facility		$98.20	$970.09	$1,732.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,087.21 / $2,532.46	Professional		$100.00	$1,087.21	$2,532.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $383.26 / $452.18 / $452.18	Facility		$383.26	$452.18	$452.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $330.09 / $482.05	Professional		$330.09	$330.09	$482.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $392.19 / $470.63 / $901.34	Professional		$392.19	$470.63	$901.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.64 / $573.58 / $1,245.49	Professional		$491.64	$573.58	$1,245.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,337.19 / $3,241.88 / $3,892.15	Facility		$1,337.19	$3,241.88	$3,892.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,227.08 / $4,328.51 / $4,609.13	Professional		$4,227.08	$4,328.51	$4,609.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,346.39 / $1,346.39 / $1,346.39	Professional		$1,346.39	$1,346.39	$1,346.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.93 / $657.01 / $819.40	Facility		$197.93	$657.01	$819.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $452.18 / $600.15	Professional		$330.09	$452.18	$600.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,546.59 / $1,546.59 / $1,546.59	Professional		$1,546.59	$1,546.59	$1,546.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $392.19 / $655.52 / $655.52	Professional		$392.19	$655.52	$655.52
United Facility/Professional Facility Modifier Low / Median / High Price $696.49 / $819.40 / $819.40	Facility		$696.49	$819.40	$819.40
United Facility/Professional Professional Modifier Low / Median / High Price $288.58 / $329.74 / $777.66	Professional		$288.58	$329.74	$777.66