Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $407.38 / $1,819.70	Facility		$154.88	$407.38	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $794.33	Professional		$107.15	$141.25	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $38.02 / $676.08	Facility		$34.67	$38.02	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $446.68	Professional		$158.49	$213.80	$446.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $630.96 / $1,230.27	Facility		$69.18	$630.96	$1,230.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $501.19	Professional		$186.21	$239.88	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,230.27 / $3,890.45	Facility		$208.93	$1,230.27	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $389.05	Professional		$120.23	$186.21	$389.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $186.21	Professional		$87.10	$169.82	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $323.59	Professional		$128.82	$169.82	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,047.13	Professional		$912.01	$1,047.13	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $102.33 / $134.90	Professional		$28.18	$102.33	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $223.87 / $1,862.09	Facility		$144.54	$223.87	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $407.38	Professional		$117.49	$186.21	$407.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $208.93	Professional		$128.82	$162.18	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $660.69 / $1,000.00	Facility		$630.96	$660.69	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $354.81	Professional		$109.65	$147.91	$354.81