Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $776.25 / $1,380.38	Facility		$275.42	$776.25	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $758.58	Professional		$151.36	$199.53	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $309.03 / $776.25	Facility		$245.47	$309.03	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $501.19	Professional		$169.82	$275.42	$501.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $562.34 / $1,862.09	Facility		$69.18	$562.34	$1,862.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $588.84	Professional		$223.87	$323.59	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $457.09 / $524.81	Facility		$251.19	$457.09	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $478.63	Professional		$158.49	$239.88	$478.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $309.03	Professional		$151.36	$234.42	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $436.52	Professional		$177.83	$223.87	$436.52
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 $1,122.02 / $1,380.38 / $1,380.38	Professional		$1,122.02	$1,380.38	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $239.88 / $380.19	Facility		$147.91	$239.88	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $467.74	Professional		$151.36	$251.19	$467.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $416.87	Professional		$194.98	$288.40	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $537.03 / $831.76	Facility		$524.81	$537.03	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $371.54	Professional		$138.04	$194.98	$371.54