Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $2,238.72	Facility		$229.09	$229.09	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $1,949.84	Professional		$190.55	$234.42	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $223.87 / $1,000.00	Facility		$173.78	$223.87	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $588.84	Professional		$234.42	$234.42	$588.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $891.25 / $1,202.26	Facility		$100.00	$891.25	$1,202.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $954.99 / $1,659.59	Professional		$489.78	$954.99	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $302.00 / $302.00	Facility		$239.88	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $302.00	Professional		$223.87	$223.87	$302.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $630.96	Professional		$147.91	$186.21	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $831.76	Professional		$316.23	$467.74	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $2,884.03	Professional		$2,454.71	$2,884.03	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $446.68 / $630.96	Facility		$141.25	$446.68	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $467.74	Professional		$223.87	$223.87	$467.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $467.74	Professional		$147.91	$223.87	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $251.19 / $524.81	Facility		$31.62	$251.19	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $512.86	Professional		$181.97	$229.09	$512.86