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 $158.49 / $218.78 / $1,862.09	Professional		$158.49	$218.78	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $213.80 / $954.99	Facility		$165.96	$213.80	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $229.09 / $537.03	Professional		$218.78	$229.09	$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 $467.74 / $912.01 / $1,584.89	Professional		$467.74	$912.01	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $275.42 / $275.42	Facility		$229.09	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $275.42	Professional		$199.53	$199.53	$275.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $602.56	Professional		$229.09	$281.84	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $812.83	Professional		$295.12	$446.68	$812.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $3,235.94	Professional		$2,754.23	$3,235.94	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $416.87 / $602.56	Facility		$151.36	$416.87	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $416.87	Professional		$199.53	$199.53	$416.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $446.68	Professional		$229.09	$338.84	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $239.88 / $501.19	Facility		$30.20	$239.88	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $489.78	Professional		$169.82	$218.78	$489.78