Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $1,318.26	Facility		$134.90	$134.90	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $1,148.15	Professional		$102.33	$134.90	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $131.83 / $588.84	Facility		$102.33	$131.83	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $134.90 / $346.74	Professional		$131.83	$134.90	$346.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $524.81 / $707.95	Facility		$100.00	$524.81	$707.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $977.24	Professional		$295.12	$562.34	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $151.36	Facility		$141.25	$141.25	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $141.25	Professional		$102.33	$102.33	$141.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $371.54	Professional		$162.18	$199.53	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $501.19	Professional		$186.21	$309.03	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $245.47 / $371.54	Facility		$93.33	$245.47	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $218.78	Professional		$102.33	$102.33	$218.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $275.42	Professional		$162.18	$239.88	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $112.20 / $309.03	Facility		$18.62	$112.20	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $302.00	Professional		$104.71	$125.89	$302.00