Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.27 / $259.27 / $1,660.67	Facility		$259.27	$259.27	$1,660.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.44 / $259.27 / $1,660.67	Professional		$205.44	$259.27	$1,660.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.88 / $811.09 / $1,827.03	Facility		$196.88	$811.09	$1,827.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.27 / $269.00 / $401.46	Professional		$216.27	$269.00	$401.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $681.42 / $1,216.82	Facility		$97.00	$681.42	$1,216.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $763.69 / $1,778.86	Professional		$100.00	$763.69	$1,778.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.20 / $279.26 / $307.66	Facility		$269.20	$279.26	$307.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $203.86 / $287.64	Professional		$203.86	$203.86	$287.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $221.64 / $265.97 / $633.13	Professional		$221.64	$265.97	$633.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.34 / $402.90 / $874.87	Professional		$345.34	$402.90	$874.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $883.65 / $2,318.80 / $2,733.96	Facility		$883.65	$2,318.80	$2,733.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,376.71 / $3,457.76 / $3,457.76	Professional		$3,376.71	$3,457.76	$3,457.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,053.12 / $1,053.12 / $1,053.12	Professional		$1,053.12	$1,053.12	$1,053.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.03 / $497.43 / $583.94	Facility		$139.03	$497.43	$583.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $279.26 / $519.79	Professional		$203.86	$279.26	$519.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,086.36 / $1,086.36 / $1,086.36	Professional		$1,086.36	$1,086.36	$1,086.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $221.64 / $376.79 / $460.46	Professional		$221.64	$376.79	$460.46
United Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $287.68 / $287.68	Facility		$287.68	$287.68	$287.68
United Facility/Professional Professional Modifier Low / Median / High Price $203.33 / $256.29 / $582.53	Professional		$203.33	$256.29	$582.53