Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $1,905.46	Facility		$239.88	$239.88	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $1,659.59	Professional		$190.55	$239.88	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $229.09 / $1,000.00	Facility		$181.97	$229.09	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $549.54	Professional		$245.47	$245.47	$549.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $758.58 / $1,023.29	Facility		$100.00	$758.58	$1,023.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $812.83 / $1,412.54	Professional		$426.58	$812.83	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $316.23	Professional		$234.42	$234.42	$316.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $537.03	Professional		$234.42	$288.40	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $724.44	Professional		$269.15	$398.11	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $3,311.31	Professional		$2,238.72	$3,311.31	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $446.68 / $575.44	Facility		$128.82	$446.68	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $426.58	Professional		$234.42	$234.42	$426.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $398.11	Professional		$234.42	$346.74	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $263.03 / $549.54	Facility		$33.11	$263.03	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $446.68	Professional		$186.21	$239.88	$446.68