Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $2,630.27	Facility		$302.00	$302.00	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $2,290.87	Professional		$229.09	$302.00	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $288.40 / $1,258.93	Facility		$229.09	$288.40	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $691.83	Professional		$309.03	$309.03	$691.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,071.52 / $1,412.54	Facility		$100.00	$1,071.52	$1,412.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $1,949.84	Professional		$575.44	$1,122.02	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $338.84 / $338.84	Facility		$281.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $338.84	Professional		$251.19	$251.19	$338.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $741.31	Professional		$169.82	$213.80	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $954.99	Professional		$354.81	$549.54	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $3,890.45	Professional		$3,019.95	$3,890.45	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $524.81 / $741.31	Facility		$190.55	$524.81	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $489.78	Professional		$251.19	$251.19	$489.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $549.54	Professional		$169.82	$257.04	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $331.13 / $676.08	Facility		$41.69	$331.13	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $602.56	Professional		$234.42	$302.00	$602.56