Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.14 / $326.29 / $2,264.00	Facility		$288.14	$326.29	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $155.90 / $813.66	Professional		$108.86	$155.90	$813.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $570.00 / $876.00	Facility		$59.90	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.79 / $328.60 / $704.41	Professional		$143.79	$328.60	$704.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $970.38 / $4,946.83	Facility		$59.40	$970.38	$4,946.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $233.37 / $372.90 / $824.14	Professional		$233.37	$372.90	$824.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.32 / $1,586.83 / $3,723.45	Facility		$157.32	$1,586.83	$3,723.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.28 / $277.02 / $692.98	Professional		$120.28	$277.02	$692.98
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 $1,103.00 / $1,309.69 / $1,309.69	Facility		$1,103.00	$1,309.69	$1,309.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,555.00 / $3,555.00 / $3,555.00	Professional		$3,555.00	$3,555.00	$3,555.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.59	Professional		$32.34	$32.34	$75.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.63 / $234.15 / $903.61	Facility		$131.63	$234.15	$903.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.65 / $290.12 / $629.08	Professional		$127.65	$290.12	$629.08
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 / $147.38 / $147.38	Facility		$147.38	$147.38	$147.38
United Facility/Professional Professional Modifier Low / Median / High Price $143.07 / $205.48 / $496.17	Professional		$143.07	$205.48	$496.17