Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.48 / $272.13 / $2,264.00	Facility		$242.48	$272.13	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.95 / $207.97 / $877.08	Professional		$127.95	$207.97	$877.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.76 / $570.00 / $876.00	Facility		$73.76	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.44 / $312.39 / $705.53	Professional		$166.44	$312.39	$705.53
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 $174.92 / $283.39 / $628.16	Professional		$174.92	$283.39	$628.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.11 / $7,965.11 / $15,820.61	Facility		$164.11	$7,965.11	$15,820.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.90 / $276.89 / $698.69	Professional		$135.90	$276.89	$698.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.62 / $198.68 / $243.84	Professional		$180.62	$198.68	$243.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $181.39 / $319.68	Professional		$139.30	$181.39	$319.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $911.68 / $1,343.57 / $1,343.57	Facility		$911.68	$1,343.57	$1,343.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,960.00 / $3,960.00 / $3,960.00	Professional		$3,960.00	$3,960.00	$3,960.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $80.01	Professional		$32.34	$32.34	$80.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.01 / $247.36 / $932.96	Facility		$149.01	$247.36	$932.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $300.62 / $658.53	Professional		$142.94	$300.62	$658.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $516.37 / $516.37 / $516.37	Professional		$516.37	$516.37	$516.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $145.96 / $164.21 / $200.70	Professional		$145.96	$164.21	$200.70
United Facility/Professional Facility Modifier Low / Median / High Price $169.98 / $169.98 / $169.98	Facility		$169.98	$169.98	$169.98
United Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $209.15 / $544.66	Professional		$160.60	$209.15	$544.66