Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $1,819.70	Facility		$229.09	$229.09	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $1,621.81	Professional		$181.97	$229.09	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $223.87 / $954.99	Facility		$173.78	$223.87	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $524.81	Professional		$234.42	$234.42	$524.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $724.44 / $977.24	Facility		$100.00	$724.44	$977.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $794.33 / $1,348.96	Professional		$407.38	$794.33	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $251.19	Facility		$208.93	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Professional		$181.97	$181.97	$251.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $512.86	Professional		$223.87	$281.84	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $691.83	Professional		$257.04	$389.05	$691.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $3,162.28	Professional		$2,137.96	$3,162.28	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $389.05 / $537.03	Facility		$128.82	$389.05	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $407.38	Professional		$181.97	$181.97	$407.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $389.05	Professional		$223.87	$338.84	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $190.55 / $524.81	Facility		$31.62	$190.55	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $426.58	Professional		$177.83	$208.93	$426.58