Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $177.83 / $1,318.26	Facility		$154.88	$177.83	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $588.84	Professional		$158.49	$208.93	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $51.29 / $52.48	Facility		$45.71	$51.29	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $478.63	Professional		$144.54	$213.80	$478.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $190.55 / $436.52	Facility		$66.07	$190.55	$436.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $416.87	Professional		$141.25	$199.53	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $588.84	Facility		$162.18	$199.53	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $575.44	Professional		$154.88	$257.04	$575.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $363.08	Professional		$107.15	$141.25	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $436.52	Professional		$218.78	$257.04	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $1,737.80	Professional		$1,380.38	$1,737.80	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $288.40	Professional		$138.04	$147.91	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $251.19 / $398.11	Facility		$173.78	$251.19	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $562.34	Professional		$158.49	$269.15	$562.34
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 $134.90 / $229.09 / $323.59	Professional		$134.90	$229.09	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $213.80 / $323.59	Facility		$204.17	$213.80	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $501.19	Professional		$141.25	$204.17	$501.19