Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.91 / $316.91 / $1,893.13	Facility		$316.91	$316.91	$1,893.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.54 / $316.91 / $1,893.13	Professional		$262.54	$316.91	$1,893.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.65 / $939.45 / $2,082.79	Facility		$240.65	$939.45	$2,082.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.41 / $322.36 / $578.04	Professional		$311.41	$322.36	$578.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $776.81 / $1,387.16	Facility		$97.00	$776.81	$1,387.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $870.58 / $2,027.89	Professional		$100.00	$870.58	$2,027.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.89 / $402.09 / $402.09	Facility		$306.89	$402.09	$402.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $293.52 / $414.15	Professional		$293.52	$293.52	$414.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $232.49 / $278.99 / $721.75	Professional		$232.49	$278.99	$721.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.68 / $459.30 / $997.33	Professional		$393.68	$459.30	$997.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,261.77 / $3,116.67 / $3,116.67	Facility		$1,261.77	$3,116.67	$3,116.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,149.47 / $3,149.47 / $3,957.38	Professional		$3,149.47	$3,149.47	$3,957.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,229.28 / $1,229.28 / $1,229.28	Professional		$1,229.28	$1,229.28	$1,229.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.94 / $557.72 / $656.14	Facility		$169.94	$557.72	$656.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $402.09 / $579.61	Professional		$293.52	$402.09	$579.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,238.44 / $1,238.44 / $1,238.44	Professional		$1,238.44	$1,238.44	$1,238.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $232.49 / $395.23 / $524.91	Professional		$232.49	$395.23	$524.91
United Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.79 / $299.16 / $661.99	Professional		$247.79	$299.16	$661.99