Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.62 / $222.62 / $1,425.96	Facility		$222.62	$222.62	$1,425.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $222.62 / $1,425.96	Professional		$161.94	$222.62	$1,425.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.06 / $696.47 / $1,568.83	Facility		$169.06	$696.47	$1,568.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.71 / $224.02 / $344.73	Professional		$185.71	$224.02	$344.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $585.12 / $1,044.85	Facility		$97.00	$585.12	$1,044.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $655.77 / $1,527.50	Professional		$100.00	$655.77	$1,527.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.16 / $239.78 / $264.18	Facility		$231.16	$239.78	$264.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $175.04 / $246.97	Professional		$175.04	$175.04	$246.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $183.27 / $219.92 / $543.65	Professional		$183.27	$219.92	$543.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.54 / $345.96 / $751.23	Professional		$296.54	$345.96	$751.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $752.48 / $2,347.59 / $2,347.59	Facility		$752.48	$2,347.59	$2,347.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,447.21 / $2,447.21 / $2,780.10	Professional		$2,447.21	$2,447.21	$2,780.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $845.70 / $845.70 / $845.70	Professional		$845.70	$845.70	$845.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $412.54 / $494.23	Facility		$119.39	$412.54	$494.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $239.78 / $470.42	Professional		$175.04	$239.78	$470.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $932.83 / $932.83 / $932.83	Professional		$932.83	$932.83	$932.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $183.27 / $311.56 / $395.38	Professional		$183.27	$311.56	$395.38
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $174.07 / $222.85 / $481.01	Professional		$174.07	$222.85	$481.01