Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.93 / $201.93 / $970.00	Facility		$201.93	$201.93	$970.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.20 / $201.93 / $970.00	Professional		$179.20	$201.93	$970.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.35 / $515.39 / $1,067.20	Facility		$153.35	$515.39	$1,067.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.64 / $205.41 / $378.00	Professional		$203.64	$205.41	$378.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $398.03 / $710.76	Facility		$97.00	$398.03	$710.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $446.08 / $1,039.06	Professional		$100.00	$446.08	$1,039.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.25 / $244.07 / $244.07	Facility		$157.25	$244.07	$244.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $178.17 / $251.39	Professional		$178.17	$178.17	$251.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.69 / $131.63 / $369.82	Professional		$109.69	$131.63	$369.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.72 / $235.34 / $521.11	Professional		$201.72	$235.34	$521.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $682.84 / $1,746.86 / $1,746.86	Facility		$682.84	$1,746.86	$1,746.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,151.65 / $2,151.65 / $3,361.95	Professional		$2,151.65	$2,151.65	$3,361.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $887.46 / $887.46 / $887.46	Professional		$887.46	$887.46	$887.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.28 / $297.23 / $362.07	Facility		$108.28	$297.23	$362.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $244.07 / $373.66	Professional		$178.17	$244.07	$373.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $634.54 / $634.54 / $634.54	Professional		$634.54	$634.54	$634.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.69 / $186.47 / $268.95	Professional		$109.69	$186.47	$268.95
United Facility/Professional Facility Modifier Low / Median / High Price $381.02 / $448.26 / $448.26	Facility		$381.02	$448.26	$448.26
United Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $169.33 / $336.20	Professional		$155.08	$169.33	$336.20