Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $1,995.26	Facility		$229.09	$229.09	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $1,737.80	Professional		$169.82	$229.09	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $269.15 / $1,096.48	Facility		$213.80	$269.15	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $524.81	Professional		$257.04	$257.04	$524.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $794.33 / $1,071.52	Facility		$100.00	$794.33	$1,071.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $870.96 / $1,479.11	Professional		$446.68	$870.96	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $331.13	Facility		$275.42	$275.42	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $275.42	Professional		$204.17	$204.17	$275.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $630.96	Professional		$371.54	$512.86	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $758.58	Professional		$281.84	$416.87	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $2,884.03	Professional		$2,187.76	$2,884.03	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $426.58 / $588.84	Facility		$229.09	$426.58	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $371.54	Professional		$204.17	$204.17	$371.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $416.87	Professional		$371.54	$371.54	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $251.19 / $512.86	Facility		$30.90	$251.19	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $467.74	Professional		$177.83	$229.09	$467.74