Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $467.74 / $1,819.70	Facility		$234.42	$467.74	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $954.99	Professional		$123.03	$186.21	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $66.07 / $794.33	Facility		$60.26	$66.07	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $338.84 / $741.31	Professional		$181.97	$338.84	$741.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $2,754.23 / $5,495.41	Facility		$69.18	$2,754.23	$5,495.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $707.95	Professional		$275.42	$398.11	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $6,165.95 / $16,218.10	Facility		$204.17	$6,165.95	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $269.15 / $645.65	Professional		$138.04	$269.15	$645.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $269.15	Professional		$138.04	$199.53	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $354.81	Professional		$144.54	$186.21	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $154.88	Professional		$32.36	$53.70	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $269.15 / $912.01	Facility		$151.36	$269.15	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $288.40 / $645.65	Professional		$141.25	$288.40	$645.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $630.96	Professional		$162.18	$223.87	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,128.61 / $7,943.28	Facility		$5,011.87	$5,128.61	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $537.03	Professional		$154.88	$199.53	$537.03