Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.81 / $172.81 / $1,106.90	Facility		$172.81	$172.81	$1,106.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $172.81 / $1,106.90	Professional		$134.72	$172.81	$1,106.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.22 / $540.63 / $1,217.79	Facility		$131.22	$540.63	$1,217.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.97 / $175.24 / $356.79	Professional		$174.97	$175.24	$356.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $454.19 / $811.06	Facility		$97.00	$454.19	$811.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $509.02 / $1,185.70	Professional		$100.00	$509.02	$1,185.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.43 / $225.30 / $225.30	Facility		$179.43	$225.30	$225.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $164.47 / $232.06	Professional		$164.47	$164.47	$232.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $167.60 / $201.12 / $422.00	Professional		$167.60	$201.12	$422.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $268.55 / $594.64	Professional		$230.18	$268.55	$594.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $667.69 / $1,822.29 / $1,822.29	Facility		$667.69	$1,822.29	$1,822.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,110.67 / $2,161.35 / $2,161.35	Professional		$2,110.67	$2,161.35	$2,161.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $595.05 / $595.05 / $595.05	Professional		$595.05	$595.05	$595.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.67 / $320.83 / $398.14	Facility		$92.67	$320.83	$398.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $225.30 / $320.51	Professional		$164.47	$225.30	$320.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $724.10 / $724.10 / $724.10	Professional		$724.10	$724.10	$724.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $167.60 / $284.92 / $306.91	Professional		$167.60	$284.92	$306.91
United Facility/Professional Facility Modifier Low / Median / High Price $326.08 / $383.64 / $383.64	Facility		$326.08	$383.64	$383.64
United Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $143.54 / $346.42	Professional		$132.72	$143.54	$346.42