Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $2,884.03	Facility		$398.11	$398.11	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $2,570.40	Professional		$309.03	$398.11	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $1,584.89	Facility		$309.03	$389.05	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $758.58	Professional		$446.68	$446.68	$758.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,174.90 / $1,584.89	Facility		$100.00	$1,174.90	$1,584.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,258.93 / $2,137.96	Professional		$645.65	$1,258.93	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $416.87 / $416.87	Facility		$316.23	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Professional		$309.03	$309.03	$416.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $812.83	Professional		$213.80	$269.15	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,071.52	Professional		$407.38	$616.60	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $5,011.87	Professional		$3,715.35	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $660.69 / $912.01	Facility		$229.09	$660.69	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $707.95	Professional		$309.03	$309.03	$707.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $616.60	Professional		$213.80	$323.59	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $446.68 / $912.01	Facility		$54.95	$446.68	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $676.08	Professional		$309.03	$407.38	$676.08