Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.69 / $816.61 / $2,264.00	Facility		$211.69	$816.61	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $181.12 / $1,047.96	Professional		$118.94	$181.12	$1,047.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.63 / $570.00 / $876.00	Facility		$57.63	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.36 / $284.48 / $781.42	Professional		$167.36	$284.48	$781.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $1,038.65 / $5,055.42	Facility		$59.40	$1,038.65	$5,055.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $258.85 / $591.20	Professional		$156.30	$258.85	$591.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.71 / $7,088.94 / $15,820.61	Facility		$215.71	$7,088.94	$15,820.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $270.48 / $700.86	Professional		$134.52	$270.48	$700.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $206.37 / $278.60	Professional		$133.66	$206.37	$278.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.56 / $205.77 / $361.32	Professional		$153.56	$205.77	$361.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $883.12 / $1,305.49 / $1,305.49	Facility		$883.12	$1,305.49	$1,305.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,097.70 / $3,190.63 / $3,190.63	Professional		$3,097.70	$3,190.63	$3,190.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $90.35	Professional		$32.34	$32.34	$90.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.07 / $250.16 / $905.29	Facility		$167.07	$250.16	$905.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $298.45 / $621.73	Professional		$143.13	$298.45	$621.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $603.01 / $603.01 / $603.01	Professional		$603.01	$603.01	$603.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $166.78 / $229.32 / $1,171.45	Professional		$166.78	$229.32	$1,171.45
United Facility/Professional Facility Modifier Low / Median / High Price $178.40 / $215.00 / $215.00	Facility		$178.40	$215.00	$215.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.29 / $235.51 / $634.64	Professional		$172.29	$235.51	$634.64