Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $251.53 / $1,494.53	Facility		$251.53	$251.53	$1,494.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.35 / $251.53 / $1,494.53	Professional		$187.35	$251.53	$1,494.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.01 / $745.66 / $1,644.26	Facility		$191.01	$745.66	$1,644.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.75 / $257.30 / $470.38	Professional		$246.75	$257.30	$470.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $613.26 / $1,095.10	Facility		$97.00	$613.26	$1,095.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $687.28 / $1,600.91	Professional		$100.00	$687.28	$1,600.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $443.24	Facility		$327.20	$327.20	$443.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $238.86 / $348.81	Professional		$238.86	$238.86	$348.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $288.79 / $346.55 / $569.79	Professional		$288.79	$346.55	$569.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.79 / $362.59 / $787.34	Professional		$310.79	$362.59	$787.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,026.75 / $2,460.44 / $2,460.44	Facility		$1,026.75	$2,460.44	$2,460.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,766.09 / $2,766.09 / $3,140.93	Professional		$2,766.09	$2,766.09	$3,140.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $990.00 / $990.00 / $990.00	Professional		$990.00	$990.00	$990.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $457.95 / $525.00	Facility		$134.88	$457.95	$525.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $327.20 / $455.39	Professional		$238.86	$327.20	$455.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $977.68 / $977.68 / $977.68	Professional		$977.68	$977.68	$977.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $288.79 / $414.39 / $433.19	Professional		$288.79	$414.39	$433.19
United Facility/Professional Facility Modifier Low / Median / High Price $34.51 / $276.08 / $321.95	Facility		$34.51	$276.08	$321.95
United Facility/Professional Professional Modifier Low / Median / High Price $196.67 / $240.93 / $522.61	Professional		$196.67	$240.93	$522.61