Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.26 / $245.26 / $1,466.35	Facility		$245.26	$245.26	$1,466.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.64 / $245.26 / $1,466.35	Professional		$189.64	$245.26	$1,466.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.25 / $727.08 / $1,613.27	Facility		$186.25	$727.08	$1,613.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.97 / $245.26 / $430.59	Professional		$231.97	$245.26	$430.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $601.67 / $1,074.43	Facility		$97.00	$601.67	$1,074.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $674.33 / $1,570.76	Professional		$100.00	$674.33	$1,570.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.70 / $299.52 / $299.52	Facility		$237.70	$299.52	$299.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $218.65 / $308.51	Professional		$218.65	$218.65	$308.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $188.80 / $559.04	Professional		$157.33	$188.80	$559.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.94 / $355.76 / $772.51	Professional		$304.94	$355.76	$772.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $939.89 / $2,414.09 / $2,414.09	Facility		$939.89	$2,414.09	$2,414.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,528.21 / $2,528.21 / $3,595.13	Professional		$2,528.21	$2,528.21	$3,595.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,047.03 / $1,047.03 / $1,047.03	Professional		$1,047.03	$1,047.03	$1,047.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.52 / $441.44 / $510.75	Facility		$131.52	$441.44	$510.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $299.52 / $483.19	Professional		$218.65	$299.52	$483.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $959.25 / $959.25 / $959.25	Professional		$959.25	$959.25	$959.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $267.45 / $406.58	Professional		$157.33	$267.45	$406.58
United Facility/Professional Facility Modifier Low / Median / High Price $462.82 / $544.49 / $544.49	Facility		$462.82	$544.49	$544.49
United Facility/Professional Professional Modifier Low / Median / High Price $191.77 / $239.27 / $488.00	Professional		$191.77	$239.27	$488.00