Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.16 / $414.30 / $1,827.00	Facility		$136.16	$414.30	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $122.56 / $637.37	Professional		$87.98	$122.56	$637.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.86 / $514.97 / $876.00	Facility		$44.86	$514.97	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $164.59 / $335.35	Professional		$120.60	$164.59	$335.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $408.97 / $1,807.92	Facility		$59.90	$408.97	$1,807.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $148.91 / $340.77	Professional		$100.00	$148.91	$340.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.51 / $2,027.78 / $4,272.05	Facility		$154.51	$2,027.78	$4,272.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $170.46 / $331.21	Professional		$87.87	$170.46	$331.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $134.63 / $181.76	Professional		$87.02	$134.63	$181.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.92 / $134.63 / $238.00	Professional		$102.92	$134.63	$238.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $352.26 / $558.27 / $558.27	Facility		$352.26	$558.27	$558.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.72 / $1,222.32 / $1,222.32	Professional		$1,186.72	$1,222.32	$1,222.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $67.95	Professional		$32.34	$32.34	$67.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $171.60 / $352.06	Facility		$109.78	$171.60	$352.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $188.05 / $326.27	Professional		$94.02	$188.05	$326.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $373.92 / $373.92 / $373.92	Professional		$373.92	$373.92	$373.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $149.71 / $242.75	Professional		$108.88	$149.71	$242.75
United Facility/Professional Facility Modifier Low / Median / High Price $123.66 / $123.66 / $123.66	Facility		$123.66	$123.66	$123.66
United Facility/Professional Professional Modifier Low / Median / High Price $101.77 / $132.75 / $312.16	Professional		$101.77	$132.75	$312.16