Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.87 / $248.56 / $2,264.00	Facility		$218.87	$248.56	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.27 / $218.87 / $1,329.77	Professional		$149.27	$218.87	$1,329.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $570.00 / $1,062.47	Facility		$37.27	$570.00	$1,062.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $240.28 / $545.50	Professional		$168.29	$240.28	$545.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $228.41 / $1,045.42	Facility		$59.40	$228.41	$1,045.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $181.03 / $279.79 / $588.07	Professional		$181.03	$279.79	$588.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.12 / $1,254.00 / $2,653.88	Facility		$390.12	$1,254.00	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.43 / $275.44 / $674.41	Professional		$163.43	$275.44	$674.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $278.41 / $375.85	Professional		$80.91	$278.41	$375.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.41 / $273.45 / $463.81	Professional		$207.41	$273.45	$463.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $445.30 / $1,229.45 / $1,229.45	Facility		$445.30	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,406.02 / $1,406.02 / $1,765.50	Professional		$1,406.02	$1,406.02	$1,765.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.16 / $288.08 / $1,972.88	Facility		$179.16	$288.08	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.55 / $274.48 / $652.55	Professional		$162.55	$274.48	$652.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $765.17 / $765.17 / $765.17	Professional		$765.17	$765.17	$765.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $197.29 / $309.63	Professional		$121.36	$197.29	$309.63
United Facility/Professional Facility Modifier Low / Median / High Price $396.05 / $567.00 / $668.97	Facility		$396.05	$567.00	$668.97
United Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $232.06 / $707.98	Professional		$151.00	$232.06	$707.98