Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $316.23 / $1,819.70	Facility		$102.33	$316.23	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $489.78	Professional		$67.61	$91.20	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $19.05 / $524.81	Facility		$17.38	$19.05	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $316.23	Professional		$102.33	$158.49	$316.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $691.83 / $1,445.44	Facility		$69.18	$691.83	$1,445.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $316.23	Professional		$114.82	$147.91	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,584.89 / $4,073.80	Facility		$134.90	$1,584.89	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $263.03	Professional		$79.43	$131.83	$263.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $144.54	Professional		$70.79	$131.83	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $234.42	Professional		$100.00	$128.82	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $794.33	Professional		$741.31	$794.33	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $77.62 / $93.33	Professional		$15.14	$77.62	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $2,398.83	Facility		$104.71	$165.96	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $263.03	Professional		$79.43	$131.83	$263.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $173.78	Professional		$104.71	$131.83	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $891.25 / $1,380.38	Facility		$851.14	$891.25	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $229.09	Professional		$69.18	$100.00	$229.09