Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $2,398.83	Facility		$251.19	$251.19	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $2,137.96	Professional		$181.97	$251.19	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $239.88 / $1,096.48	Facility		$190.55	$239.88	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $616.60	Professional		$257.04	$257.04	$616.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $977.24 / $1,318.26	Facility		$100.00	$977.24	$1,318.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,047.13 / $1,778.28	Professional		$537.03	$1,047.13	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $363.08 / $363.08	Facility		$263.03	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Professional		$263.03	$263.03	$363.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $676.08	Professional		$177.83	$223.87	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $891.25	Professional		$338.84	$512.86	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $3,981.07	Professional		$3,162.28	$3,981.07	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $489.78 / $676.08	Facility		$173.78	$489.78	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $537.03	Professional		$263.03	$263.03	$537.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $512.86	Professional		$177.83	$269.15	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $275.42 / $575.44	Facility		$34.67	$275.42	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $562.34	Professional		$194.98	$251.19	$562.34