Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $2,041.74	Facility		$213.80	$213.80	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $1,819.70	Professional		$162.18	$213.80	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $204.17 / $933.25	Facility		$162.18	$204.17	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $524.81	Professional		$218.78	$218.78	$524.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $831.76 / $1,122.02	Facility		$100.00	$831.76	$1,122.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $891.25 / $1,513.56	Professional		$457.09	$891.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $245.47 / $245.47	Facility		$223.87	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $245.47	Professional		$177.83	$177.83	$245.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $575.44	Professional		$158.49	$199.53	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $776.25	Professional		$288.40	$436.52	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $2,691.53	Professional		$2,344.23	$2,691.53	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $407.38 / $575.44	Facility		$120.23	$407.38	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $371.54	Professional		$177.83	$177.83	$371.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $436.52	Professional		$158.49	$234.42	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $173.78 / $478.63	Facility		$29.51	$173.78	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $478.63	Professional		$162.18	$194.98	$478.63