Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $2,818.38	Facility		$363.08	$363.08	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $2,511.89	Professional		$288.40	$363.08	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $346.74 / $1,479.11	Facility		$275.42	$346.74	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $724.44	Professional		$407.38	$407.38	$724.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,148.15 / $1,548.82	Facility		$100.00	$1,148.15	$1,548.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,230.27 / $2,089.30	Professional		$630.96	$1,230.27	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $436.52	Professional		$316.23	$316.23	$436.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $794.33	Professional		$346.74	$436.52	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,047.13	Professional		$398.11	$602.56	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,897.79 / $4,897.79	Professional		$3,388.44	$4,897.79	$4,897.79
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 $194.98 / $660.69 / $870.96	Facility		$194.98	$660.69	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $645.65	Professional		$316.23	$316.23	$645.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $602.56	Professional		$346.74	$524.81	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $398.11 / $812.83	Facility		$48.98	$398.11	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $660.69	Professional		$281.84	$363.08	$660.69