Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,621.81 / $1,778.28	Facility		$181.97	$1,621.81	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $1,412.54	Professional		$138.04	$199.53	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $177.83 / $758.58	Facility		$141.25	$177.83	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $407.38	Professional		$186.21	$186.21	$407.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $645.65 / $870.96	Facility		$100.00	$645.65	$870.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $691.83 / $1,202.26	Professional		$354.81	$691.83	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $263.03 / $263.03	Facility		$173.78	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Professional		$194.98	$194.98	$263.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $457.09	Professional		$177.83	$223.87	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $616.60	Professional		$223.87	$380.19	$616.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $2,818.38	Professional		$1,862.09	$2,818.38	$2,818.38
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 $120.23 / $331.13 / $457.09	Facility		$120.23	$331.13	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $354.81	Professional		$194.98	$194.98	$354.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $338.84	Professional		$177.83	$269.15	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $204.17 / $416.87	Facility		$25.12	$204.17	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $371.54	Professional		$144.54	$186.21	$371.54