Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $707.95 / $1,258.93	Facility		$295.12	$707.95	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $1,348.96	Professional		$131.83	$173.78	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $467.74 / $1,023.29	Facility		$93.33	$467.74	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $537.03	Professional		$204.17	$251.19	$537.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $467.74 / $1,949.84	Facility		$69.18	$467.74	$1,949.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $398.11	Professional		$117.49	$158.49	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $354.81 / $724.44	Facility		$138.04	$354.81	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $562.34	Professional		$107.15	$138.04	$562.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $275.42	Professional		$162.18	$204.17	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $354.81	Professional		$181.97	$223.87	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $1,513.56	Professional		$1,023.29	$1,513.56	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $245.47 / $602.56	Facility		$158.49	$245.47	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $213.80 / $467.74	Professional		$107.15	$213.80	$467.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $2,454.71	Professional		$162.18	$204.17	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $204.17 / $204.17	Facility		$85.11	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $389.05	Professional		$85.11	$85.11	$389.05