Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $2,137.96	Facility		$218.78	$218.78	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $1,905.46	Professional		$165.96	$218.78	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $213.80 / $977.24	Facility		$169.82	$213.80	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $537.03	Professional		$223.87	$223.87	$537.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $851.14 / $1,148.15	Facility		$100.00	$851.14	$1,148.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $933.25 / $1,584.89	Professional		$478.63	$933.25	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $245.47	Facility		$229.09	$229.09	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $229.09	Professional		$169.82	$169.82	$229.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $602.56	Professional		$251.19	$316.23	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $812.83	Professional		$302.00	$457.09	$812.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $398.11 / $602.56	Facility		$125.89	$398.11	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $363.08	Professional		$169.82	$169.82	$363.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $457.09	Professional		$251.19	$380.19	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $181.97 / $501.19	Facility		$30.20	$181.97	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $501.19	Professional		$169.82	$204.17	$501.19