Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.26 / $158.27 / $2,264.00	Facility		$140.26	$158.27	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $131.88 / $655.36	Professional		$92.27	$131.88	$655.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.44 / $533.57 / $876.00	Facility		$34.44	$533.57	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.80 / $203.60 / $389.41	Professional		$135.80	$203.60	$389.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $348.10 / $1,584.01	Facility		$59.40	$348.10	$1,584.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $111.57 / $171.90 / $365.04	Professional		$111.57	$171.90	$365.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.08 / $1,204.39 / $2,653.88	Facility		$179.08	$1,204.39	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $182.85 / $391.56	Professional		$115.16	$182.85	$391.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $142.44 / $192.29	Professional		$86.52	$142.44	$192.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $141.29 / $258.52	Professional		$107.35	$141.29	$258.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $368.13 / $1,229.45 / $1,229.45	Facility		$368.13	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.53 / $1,062.47 / $1,062.47	Professional		$1,031.53	$1,062.47	$1,062.47
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 $116.85 / $229.80 / $1,972.88	Facility		$116.85	$229.80	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.54 / $182.67 / $391.56	Professional		$113.54	$182.67	$391.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $377.09 / $377.09 / $377.09	Professional		$377.09	$377.09	$377.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $158.40 / $210.98	Professional		$115.20	$158.40	$210.98
United Facility/Professional Facility Modifier Low / Median / High Price $396.05 / $396.05 / $396.05	Facility		$396.05	$396.05	$396.05
United Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $136.37 / $340.57	Professional		$97.86	$136.37	$340.57