Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $467.74 / $1,819.70	Facility		$239.88	$467.74	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $912.01	Professional		$120.23	$208.93	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $81.28 / $831.76	Facility		$74.13	$81.28	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $724.44	Professional		$177.83	$346.74	$724.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $2,951.21 / $7,413.10	Facility		$69.18	$2,951.21	$7,413.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $645.65	Professional		$251.19	$354.81	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $7,079.46 / $15,848.93	Facility		$165.96	$7,079.46	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $269.15 / $660.69	Professional		$134.90	$269.15	$660.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $269.15	Professional		$199.53	$218.78	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $354.81	Professional		$147.91	$190.55	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $69.18 / $147.91	Professional		$32.36	$69.18	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $263.03 / $933.25	Facility		$147.91	$263.03	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $645.65	Professional		$138.04	$281.84	$645.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $223.87	Professional		$162.18	$169.82	$223.87
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 $147.91 / $199.53 / $537.03	Professional		$147.91	$199.53	$537.03