Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $1,348.96	Facility		$181.97	$181.97	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $1,174.90	Professional		$131.83	$181.97	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $741.31	Facility		$138.04	$173.78	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $407.38	Professional		$181.97	$181.97	$407.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $537.03 / $724.44	Facility		$100.00	$537.03	$724.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $588.84 / $1,000.00	Professional		$302.00	$588.84	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $223.87 / $223.87	Facility		$144.54	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $223.87	Professional		$165.96	$165.96	$223.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $380.19	Professional		$117.49	$144.54	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $537.03	Professional		$190.55	$316.23	$537.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $2,511.89	Professional		$1,995.26	$2,511.89	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $302.00 / $407.38	Facility		$102.33	$302.00	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $316.23	Professional		$165.96	$165.96	$316.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $281.84	Professional		$117.49	$173.78	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $199.53 / $407.38	Facility		$24.55	$199.53	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $316.23	Professional		$141.25	$181.97	$316.23