Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.68 / $177.07 / $2,264.00	Facility		$156.68	$177.07	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $148.41 / $738.91	Professional		$113.82	$148.41	$738.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.44 / $570.00 / $876.00	Facility		$34.44	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.85 / $191.55 / $378.77	Professional		$138.85	$191.55	$378.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $251.19 / $1,150.33	Facility		$59.40	$251.19	$1,150.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $210.25 / $407.78	Professional		$137.80	$210.25	$407.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.38 / $1,204.39 / $2,653.88	Facility		$208.38	$1,204.39	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.58 / $186.35 / $426.43	Professional		$135.58	$186.35	$426.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $162.78 / $219.75	Professional		$86.52	$162.78	$219.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $161.60 / $294.42	Professional		$122.32	$161.60	$294.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $294.51 / $1,229.45 / $1,229.45	Facility		$294.51	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $906.00 / $906.00 / $1,047.30	Professional		$906.00	$906.00	$1,047.30
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 $130.18 / $208.38 / $1,972.88	Facility		$130.18	$208.38	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $178.02 / $426.43	Professional		$129.91	$178.02	$426.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $425.17 / $425.17 / $425.17	Professional		$425.17	$425.17	$425.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $161.34 / $210.98	Professional		$129.78	$161.34	$210.98
United Facility/Professional Facility Modifier Low / Median / High Price $163.22 / $396.05 / $668.97	Facility		$163.22	$396.05	$668.97
United Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $152.86 / $384.35	Professional		$110.13	$152.86	$384.35