Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $3,388.44	Facility		$346.74	$346.74	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $2,951.21	Professional		$251.19	$346.74	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $338.84 / $1,548.82	Facility		$269.15	$338.84	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $851.14	Professional		$354.81	$354.81	$851.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,348.96 / $1,819.70	Facility		$100.00	$1,348.96	$1,819.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,479.11 / $2,511.89	Professional		$758.58	$1,479.11	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $478.63 / $478.63	Facility		$363.08	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $478.63	Professional		$354.81	$354.81	$478.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $954.99	Professional		$380.19	$478.63	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,258.93	Professional		$478.63	$707.95	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $660.69 / $954.99	Facility		$223.87	$660.69	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $645.65	Professional		$354.81	$354.81	$645.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $707.95	Professional		$380.19	$575.44	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $389.05 / $794.33	Facility		$47.86	$389.05	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $794.33	Professional		$275.42	$354.81	$794.33