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 $177.83 / $239.88 / $2,041.74	Professional		$177.83	$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 $239.88 / $251.19 / $588.84	Professional		$239.88	$251.19	$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 $512.86 / $1,000.00 / $1,737.80	Professional		$512.86	$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 $186.21 / $186.21 / $251.19	Professional		$186.21	$186.21	$251.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $660.69	Professional		$288.40	$354.81	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $851.14	Professional		$323.59	$489.78	$851.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $436.52 / $660.69	Facility		$134.90	$436.52	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $512.86	Professional		$186.21	$186.21	$512.86
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 $288.40 / $426.58 / $489.78	Professional		$288.40	$426.58	$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 / $223.87 / $537.03	Professional		$186.21	$223.87	$537.03