Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.92 / $235.09 / $2,264.00	Facility		$205.92	$235.09	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $193.45 / $1,010.26	Professional		$142.10	$193.45	$1,010.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $570.00 / $876.00	Facility		$22.19	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $221.27 / $466.45	Professional		$145.33	$221.27	$466.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $209.14 / $972.96	Facility		$59.40	$209.14	$972.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $174.70 / $269.54 / $535.91	Professional		$174.70	$269.54	$535.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.22 / $1,204.39 / $2,653.88	Facility		$309.22	$1,204.39	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $228.15 / $535.72	Professional		$141.66	$228.15	$535.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $204.82 / $276.51	Professional		$86.52	$204.82	$276.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $200.66 / $364.70	Professional		$152.18	$200.66	$364.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $359.96 / $1,229.45 / $1,229.45	Facility		$359.96	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,057.01 / $1,057.01 / $1,294.50	Professional		$1,057.01	$1,057.01	$1,294.50
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 $140.93 / $245.83 / $1,972.88	Facility		$140.93	$245.83	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.03 / $219.95 / $535.72	Professional		$140.03	$219.95	$535.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $581.30 / $581.30 / $581.30	Professional		$581.30	$581.30	$581.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $173.75 / $227.79	Professional		$129.78	$173.75	$227.79
United Facility/Professional Facility Modifier Low / Median / High Price $396.05 / $396.05 / $708.75	Facility		$396.05	$396.05	$708.75
United Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $188.52 / $511.16	Professional		$123.63	$188.52	$511.16