Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $338.84 / $776.25	Facility		$87.10	$338.84	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $954.99	Professional		$173.78	$239.88	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $645.65 / $1,380.38	Facility		$128.82	$645.65	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $630.96	Professional		$257.04	$288.40	$630.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $616.60 / $776.25	Facility		$199.53	$616.60	$776.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $977.24	Professional		$331.13	$426.58	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $478.63 / $977.24	Facility		$194.98	$478.63	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $794.33	Professional		$147.91	$181.97	$794.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $416.87	Professional		$275.42	$302.00	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $478.63	Professional		$245.47	$302.00	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,041.74	Professional		$1,380.38	$2,041.74	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $331.13 / $812.83	Facility		$208.93	$331.13	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $295.12 / $758.58	Professional		$147.91	$295.12	$758.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $4,168.69	Professional		$218.78	$309.03	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $275.42 / $275.42	Facility		$114.82	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $524.81	Professional		$114.82	$114.82	$524.81