Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $1,737.80	Facility		$223.87	$223.87	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $1,548.82	Professional		$177.83	$223.87	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $213.80 / $912.01	Facility		$169.82	$213.80	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $446.68	Professional		$251.19	$251.19	$446.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $724.44 / $954.99	Facility		$100.00	$724.44	$954.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $758.58 / $1,288.25	Professional		$389.05	$758.58	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $269.15	Professional		$194.98	$194.98	$269.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $489.78	Professional		$213.80	$269.15	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $660.69	Professional		$245.47	$371.54	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $3,019.95	Professional		$2,089.30	$3,019.95	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $416.87 / $537.03	Facility		$120.23	$416.87	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $398.11	Professional		$194.98	$194.98	$398.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $371.54	Professional		$213.80	$323.59	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $245.47 / $501.19	Facility		$30.20	$245.47	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $407.38	Professional		$173.78	$223.87	$407.38