Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.81 / $415.81 / $2,020.34	Facility		$415.81	$415.81	$2,020.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.11 / $415.81 / $2,020.34	Professional		$303.11	$415.81	$2,020.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.76 / $1,073.44 / $2,222.71	Facility		$315.76	$1,073.44	$2,222.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.85 / $420.80 / $643.85	Professional		$346.85	$420.80	$643.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $829.01 / $1,480.38	Facility		$97.00	$829.01	$1,480.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $929.07 / $2,164.14	Professional		$100.00	$929.07	$2,164.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.51 / $432.60 / $432.60	Facility		$327.51	$432.60	$432.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $315.80 / $461.17	Professional		$315.80	$315.80	$461.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $265.30 / $318.36 / $770.24	Professional		$265.30	$318.36	$770.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.13 / $490.15 / $1,064.33	Professional		$420.13	$490.15	$1,064.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,405.39 / $3,692.36 / $3,692.36	Facility		$1,405.39	$3,692.36	$3,692.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,596.99 / $4,596.99 / $5,284.28	Professional		$4,596.99	$4,596.99	$5,284.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,419.23 / $1,419.23 / $1,419.23	Professional		$1,419.23	$1,419.23	$1,419.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.98 / $619.07 / $709.70	Facility		$222.98	$619.07	$709.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $432.60 / $658.95	Professional		$315.80	$432.60	$658.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,321.66 / $1,321.66 / $1,321.66	Professional		$1,321.66	$1,321.66	$1,321.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $265.30 / $451.01 / $560.17	Professional		$265.30	$451.01	$560.17
United Facility/Professional Facility Modifier Low / Median / High Price $219.99 / $456.41 / $532.23	Facility		$219.99	$456.41	$532.23
United Facility/Professional Professional Modifier Low / Median / High Price $319.33 / $346.22 / $700.25	Professional		$319.33	$346.22	$700.25