Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.80 / $174.80 / $1,119.63	Facility		$174.80	$174.80	$1,119.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.07 / $174.80 / $1,119.63	Professional		$135.07	$174.80	$1,119.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.74 / $546.85 / $1,231.82	Facility		$132.74	$546.85	$1,231.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.10 / $177.26 / $299.50	Professional		$157.10	$177.26	$299.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $459.43 / $820.41	Facility		$97.00	$459.43	$820.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $514.89 / $1,199.34	Professional		$100.00	$514.89	$1,199.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $382.66	Facility		$181.86	$181.86	$382.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $187.32	Professional		$132.76	$132.76	$187.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $207.43 / $248.92 / $426.87	Professional		$207.43	$248.92	$426.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.84 / $271.64 / $601.49	Professional		$232.84	$271.64	$601.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $626.17 / $1,843.29 / $1,843.29	Facility		$626.17	$1,843.29	$1,843.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,979.55 / $2,027.07 / $2,182.80	Professional		$1,979.55	$2,027.07	$2,182.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $596.63 / $596.63 / $596.63	Professional		$596.63	$596.63	$596.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.74 / $343.08 / $388.06	Facility		$93.74	$343.08	$388.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $181.86 / $343.91	Professional		$132.76	$181.86	$343.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $732.43 / $732.43 / $732.43	Professional		$732.43	$732.43	$732.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $207.43 / $310.45 / $311.14	Professional		$207.43	$310.45	$311.14
United Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $131.84 / $143.90	Facility		$23.98	$131.84	$143.90
United Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $145.19 / $368.67	Professional		$131.84	$145.19	$368.67