Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.66 / $309.01 / $2,264.00	Facility		$273.66	$309.01	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.56 / $233.78 / $1,019.17	Professional		$142.56	$233.78	$1,019.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $570.00 / $876.00	Facility		$69.73	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.94 / $352.35 / $797.20	Professional		$192.94	$352.35	$797.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $1,185.70 / $5,332.99	Facility		$59.40	$1,185.70	$5,332.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $355.81 / $789.71	Professional		$222.24	$355.81	$789.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.11 / $7,675.00 / $15,820.61	Facility		$224.11	$7,675.00	$15,820.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.28 / $317.58 / $753.83	Professional		$156.28	$317.58	$753.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.79 / $221.21 / $298.63	Professional		$154.79	$221.21	$298.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $219.71 / $381.00	Professional		$163.47	$219.71	$381.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $897.04 / $1,600.36 / $2,025.75	Facility		$897.04	$1,600.36	$2,025.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,139.84 / $3,234.04 / $3,234.04	Professional		$3,139.84	$3,234.04	$3,234.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $104.86	Professional		$32.34	$32.34	$104.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.41 / $290.70 / $959.65	Facility		$178.41	$290.70	$959.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.83 / $343.88 / $668.63	Professional		$162.83	$343.88	$668.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $586.45 / $586.45 / $586.45	Professional		$586.45	$586.45	$586.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $178.90 / $245.98 / $639.01	Professional		$178.90	$245.98	$639.01
United Facility/Professional Facility Modifier Low / Median / High Price $197.93 / $5,188.82 / $7,977.37	Facility		$197.93	$5,188.82	$7,977.37
United Facility/Professional Professional Modifier Low / Median / High Price $179.37 / $240.12 / $628.01	Professional		$179.37	$240.12	$628.01