Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $200.94 / $1,379.96	Facility		$125.89	$200.94	$1,379.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.06 / $200.94 / $787.79	Professional		$118.06	$200.94	$787.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.26 / $191.70 / $387.28	Professional		$134.26	$191.70	$387.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $205.11 / $395.74	Professional		$136.10	$205.11	$395.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $279.91 / $501.33	Facility		$56.00	$279.91	$501.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $228.82 / $457.61	Professional		$143.84	$228.82	$457.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $209.82 / $353.83	Professional		$163.13	$209.82	$353.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $252.31 / $448.19	Professional		$145.47	$252.31	$448.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $645.64 / $705.00	Facility		$55.00	$645.64	$705.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.16 / $1,686.96 / $2,009.93	Professional		$1,002.16	$1,686.96	$2,009.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.69 / $219.14 / $364.00	Facility		$146.69	$219.14	$364.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.09 / $244.98 / $518.70	Professional		$146.09	$244.98	$518.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $444.07 / $444.07 / $719.36	Professional		$444.07	$444.07	$719.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.12 / $254.47 / $363.22	Professional		$148.12	$254.47	$363.22
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.94 / $217.70 / $486.08	Professional		$167.94	$217.70	$486.08