Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,202.26 / $1,584.89	Facility		$151.36	$1,202.26	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $1,584.89	Professional		$147.91	$194.98	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $549.54 / $1,202.26	Facility		$109.65	$549.54	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $602.56	Professional		$239.88	$275.42	$602.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $537.03 / $676.08	Facility		$173.78	$537.03	$676.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $912.01	Professional		$95.50	$128.82	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $416.87 / $851.14	Facility		$154.88	$416.87	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $660.69	Professional		$87.10	$158.49	$660.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $323.59	Professional		$128.82	$239.88	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $416.87	Professional		$213.80	$263.03	$416.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $1,778.28	Professional		$1,202.26	$1,778.28	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $288.40 / $707.95	Facility		$158.49	$288.40	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $239.88 / $660.69	Professional		$93.33	$239.88	$660.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $239.88	Professional		$128.82	$181.97	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $239.88	Facility		$100.00	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $457.09	Professional		$67.61	$100.00	$457.09