Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.30 / $234.79 / $2,264.00	Facility		$210.30	$234.79	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $155.90 / $813.66	Professional		$110.64	$155.90	$813.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.66 / $570.00 / $876.00	Facility		$58.66	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.79 / $273.83 / $676.11	Professional		$143.79	$273.83	$676.11
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 $152.80 / $248.89 / $548.73	Professional		$152.80	$248.89	$548.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.32 / $7,965.11 / $15,820.61	Facility		$157.32	$7,965.11	$15,820.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $262.31 / $700.86	Professional		$127.00	$262.31	$700.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $161.84 / $178.02 / $218.48	Professional		$161.84	$178.02	$218.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $161.60 / $283.12	Professional		$123.16	$161.60	$283.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $883.28 / $1,201.14 / $1,305.93	Facility		$883.28	$1,201.14	$1,305.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,100.39 / $3,193.40 / $3,193.40	Professional		$3,100.39	$3,193.40	$3,193.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $79.31	Professional		$32.34	$32.34	$79.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.63 / $220.85 / $904.49	Facility		$131.63	$220.85	$904.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.85 / $277.70 / $620.14	Professional		$134.85	$277.70	$620.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $468.20 / $468.20 / $468.20	Professional		$468.20	$468.20	$468.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $130.87 / $147.22 / $179.95	Professional		$130.87	$147.22	$179.95
United Facility/Professional Facility Modifier Low / Median / High Price $147.38 / $5,188.82 / $7,977.37	Facility		$147.38	$5,188.82	$7,977.37
United Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $186.59 / $545.29	Professional		$143.28	$186.59	$545.29