Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $398.11 / $1,819.70	Facility		$95.50	$398.11	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $436.52	Professional		$60.26	$79.43	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.02 / $380.19	Facility		$10.72	$12.02	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $251.19	Professional		$61.66	$97.72	$251.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $229.09 / $1,862.09	Facility		$66.07	$229.09	$1,862.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $275.42	Professional		$100.00	$134.90	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $4,073.80 / $8,511.38	Facility		$128.82	$4,073.80	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $218.78	Professional		$57.54	$97.72	$218.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $97.72 / $107.15	Professional		$34.67	$97.72	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $177.83	Professional		$72.44	$95.50	$177.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $588.84	Professional		$446.68	$588.84	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $56.23 / $64.57	Professional		$8.91	$56.23	$64.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $114.82 / $6,165.95	Facility		$64.57	$114.82	$6,165.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $223.87	Professional		$58.88	$97.72	$223.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $89.13	Professional		$52.48	$79.43	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $3,235.94	Facility		$2,041.74	$2,137.96	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $199.53	Professional		$51.29	$79.43	$199.53