Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.97 / $350.97 / $2,248.00	Facility		$350.97	$350.97	$2,248.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.47 / $350.97 / $2,248.00	Professional		$282.47	$350.97	$2,248.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.57 / $1,097.96 / $2,473.21	Facility		$266.57	$1,097.96	$2,473.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.00 / $355.43 / $638.54	Professional		$344.00	$355.43	$638.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $922.43 / $1,647.19	Facility		$97.00	$922.43	$1,647.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,033.78 / $2,408.01	Professional		$100.00	$1,033.78	$2,408.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.42 / $483.85 / $483.85	Facility		$364.42	$483.85	$483.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $353.21 / $515.79	Professional		$353.21	$353.21	$515.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $384.51 / $461.41 / $857.05	Professional		$384.51	$461.41	$857.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.48 / $545.40 / $1,184.29	Professional		$467.48	$545.40	$1,184.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,393.80 / $3,115.48 / $3,700.92	Facility		$1,393.80	$3,115.48	$3,700.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,550.09 / $4,659.30 / $4,659.30	Professional		$4,550.09	$4,659.30	$4,659.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,322.61 / $1,322.61 / $1,322.61	Professional		$1,322.61	$1,322.61	$1,322.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.20 / $645.17 / $790.47	Facility		$188.20	$645.17	$790.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $483.85 / $651.65	Professional		$353.21	$483.85	$651.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,470.59 / $1,470.59 / $1,470.59	Professional		$1,470.59	$1,470.59	$1,470.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $384.51 / $623.30 / $623.30	Professional		$384.51	$623.30	$623.30
United Facility/Professional Facility Modifier Low / Median / High Price $389.42 / $389.42 / $389.42	Facility		$389.42	$389.42	$389.42
United Facility/Professional Professional Modifier Low / Median / High Price $277.42 / $350.96 / $779.16	Professional		$277.42	$350.96	$779.16