Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $891.25 / $1,479.11	Facility		$181.97	$891.25	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $1,318.26	Professional		$138.04	$181.97	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $177.83 / $758.58	Facility		$138.04	$177.83	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $416.87	Professional		$186.21	$186.21	$416.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $602.56 / $812.83	Facility		$100.00	$602.56	$812.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $645.65 / $1,096.48	Professional		$331.13	$645.65	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $190.55	Facility		$162.18	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $190.55	Professional		$138.04	$138.04	$190.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $416.87	Professional		$131.83	$165.96	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $562.34	Professional		$208.93	$316.23	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,290.87	Professional		$1,949.84	$2,290.87	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $309.03 / $436.52	Facility		$102.33	$309.03	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $323.59	Professional		$138.04	$138.04	$323.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $316.23	Professional		$131.83	$199.53	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $151.36 / $416.87	Facility		$25.12	$151.36	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $346.74	Professional		$141.25	$169.82	$346.74