Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $1,258.93	Facility		$128.82	$128.82	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $1,096.48	Professional		$97.72	$128.82	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $575.44	Facility		$100.00	$125.89	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $316.23	Professional		$131.83	$131.83	$316.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $501.19 / $676.08	Facility		$100.00	$501.19	$676.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $549.54 / $933.25	Professional		$281.84	$549.54	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $144.54	Facility		$134.90	$134.90	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $134.90	Professional		$100.00	$100.00	$134.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $354.81	Professional		$154.88	$194.98	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $295.12 / $501.19	Professional		$177.83	$295.12	$501.19
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 $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $234.42 / $354.81	Facility		$74.13	$234.42	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $223.87	Professional		$100.00	$100.00	$223.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $263.03	Professional		$154.88	$234.42	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $107.15 / $295.12	Facility		$17.78	$107.15	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $288.40	Professional		$100.00	$117.49	$288.40