Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.17 / $252.17 / $1,323.56	Facility		$252.17	$252.17	$1,323.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.44 / $252.17 / $1,323.56	Professional		$200.44	$252.17	$1,323.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.54 / $696.15 / $1,456.15	Facility		$191.54	$696.15	$1,456.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.47 / $282.38 / $437.12	Professional		$235.47	$282.38	$437.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $543.11 / $969.84	Facility		$97.00	$543.11	$969.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $608.66 / $1,417.77	Professional		$100.00	$608.66	$1,417.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.56 / $294.27 / $294.27	Facility		$214.56	$294.27	$294.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $214.82 / $313.72	Professional		$214.82	$214.82	$313.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $245.21 / $294.25 / $504.60	Professional		$245.21	$294.25	$504.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.24 / $321.11 / $697.27	Professional		$275.24	$321.11	$697.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $789.63 / $2,188.60 / $2,188.60	Facility		$789.63	$2,188.60	$2,188.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,366.19 / $2,366.19 / $3,440.48	Professional		$2,366.19	$2,366.19	$3,440.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $968.58 / $968.58 / $968.58	Professional		$968.58	$968.58	$968.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $401.68 / $472.48	Facility		$135.22	$401.68	$472.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $294.27 / $436.63	Professional		$214.82	$294.27	$436.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $865.84 / $865.84 / $865.84	Professional		$865.84	$865.84	$865.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $245.21 / $366.98 / $367.82	Professional		$245.21	$366.98	$367.82
United Facility/Professional Facility Modifier Low / Median / High Price $34.60 / $276.79 / $322.77	Facility		$34.60	$276.79	$322.77
United Facility/Professional Professional Modifier Low / Median / High Price $197.17 / $226.82 / $443.87	Professional		$197.17	$226.82	$443.87