Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $1,862.09	Facility		$234.42	$234.42	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $1,659.59	Professional		$190.55	$234.42	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $223.87 / $977.24	Facility		$177.83	$223.87	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $478.63	Professional		$263.03	$263.03	$478.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $758.58 / $1,000.00	Facility		$100.00	$758.58	$1,000.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $812.83 / $1,380.38	Professional		$416.87	$812.83	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$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 $239.88 / $302.00 / $524.81	Professional		$239.88	$302.00	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $707.95	Professional		$263.03	$398.11	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $3,890.45	Professional		$2,511.89	$3,890.45	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $426.58 / $562.34	Facility		$125.89	$426.58	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $389.05	Professional		$199.53	$199.53	$389.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $407.38	Professional		$239.88	$354.81	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $257.04 / $524.81	Facility		$32.36	$257.04	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $436.52	Professional		$181.97	$234.42	$436.52