Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.40 / $116.18 / $2,264.00	Facility		$102.40	$116.18	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $97.35 / $459.24	Professional		$69.41	$97.35	$459.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $471.11 / $876.00	Facility		$17.29	$471.11	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $140.22 / $269.45	Professional		$90.47	$140.22	$269.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $256.25 / $1,219.30	Facility		$59.40	$256.25	$1,219.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $129.01 / $266.50	Professional		$100.00	$129.01	$266.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.77 / $1,563.28 / $3,477.93	Facility		$134.77	$1,563.28	$3,477.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.60 / $130.30 / $263.42	Professional		$84.60	$130.30	$263.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $124.89 / $168.60	Professional		$70.52	$124.89	$168.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $122.96 / $219.14	Professional		$93.23	$122.96	$219.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.69 / $1,653.45 / $1,653.45	Facility		$257.69	$1,653.45	$1,653.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $745.00 / $748.39 / $798.60	Professional		$745.00	$748.39	$798.60
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 $90.56 / $160.86 / $2,561.08	Facility		$90.56	$160.86	$2,561.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.81 / $130.30 / $263.42	Professional		$83.81	$130.30	$263.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $264.25 / $264.25 / $264.25	Professional		$264.25	$264.25	$264.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $131.49 / $171.95	Professional		$101.00	$131.49	$171.95
United Facility/Professional Facility Modifier Low / Median / High Price $472.50 / $514.13 / $514.13	Facility		$472.50	$514.13	$514.13
United Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $95.55 / $232.46	Professional		$68.41	$95.55	$232.46