Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.53 / $402.53 / $1,933.69	Facility		$402.53	$402.53	$1,933.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.43 / $402.53 / $1,933.69	Professional		$293.43	$402.53	$1,933.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.67 / $1,027.42 / $2,127.42	Facility		$305.67	$1,027.42	$2,127.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.28 / $448.79 / $749.78	Professional		$393.28	$448.79	$749.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $793.45 / $1,416.88	Facility		$97.00	$793.45	$1,416.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $889.25 / $2,071.37	Professional		$100.00	$889.25	$2,071.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.47 / $418.79 / $418.79	Facility		$313.47	$418.79	$418.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $305.72 / $446.44	Professional		$305.72	$305.72	$446.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $215.08 / $258.10 / $737.22	Professional		$215.08	$258.10	$737.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.12 / $469.14 / $1,018.70	Professional		$402.12	$469.14	$1,018.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,354.43 / $3,451.92 / $3,451.92	Facility		$1,354.43	$3,451.92	$3,451.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,683.44 / $3,683.44 / $5,026.50	Professional		$3,683.44	$3,683.44	$5,026.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,373.91 / $1,373.91 / $1,373.91	Professional		$1,373.91	$1,373.91	$1,373.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.86 / $592.51 / $695.54	Facility		$215.86	$592.51	$695.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $418.79 / $678.95	Professional		$305.72	$418.79	$678.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,264.98 / $1,264.98 / $1,264.98	Professional		$1,264.98	$1,264.98	$1,264.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $215.08 / $365.64 / $536.16	Professional		$215.08	$365.64	$536.16
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $309.14 / $334.36 / $652.27	Professional		$309.14	$334.36	$652.27