Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $2,344.23	Facility		$239.88	$239.88	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $2,041.74	Professional		$190.55	$239.88	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $234.42 / $1,047.13	Facility		$181.97	$234.42	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $588.84	Professional		$234.42	$234.42	$588.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $933.25 / $1,258.93	Facility		$100.00	$933.25	$1,258.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,000.00 / $1,737.80	Professional		$524.81	$1,000.00	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $269.15	Facility		$251.19	$251.19	$269.15
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 $251.19 / $316.23 / $660.69	Professional		$251.19	$316.23	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $870.96	Professional		$331.13	$489.78	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $3,801.89	Professional		$3,019.95	$3,801.89	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $457.09 / $660.69	Facility		$165.96	$457.09	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $389.05	Professional		$181.97	$181.97	$389.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $489.78	Professional		$251.19	$371.54	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $199.53 / $549.54	Facility		$33.11	$199.53	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $537.03	Professional		$186.21	$229.09	$537.03