Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $407.38 / $1,819.70	Facility		$177.83	$407.38	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $794.33	Professional		$107.15	$158.49	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $38.02 / $676.08	Facility		$33.88	$38.02	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $575.44	Professional		$190.55	$346.74	$575.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $812.83 / $3,090.30	Facility		$69.18	$812.83	$3,090.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $524.81	Professional		$190.55	$251.19	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,230.27 / $3,890.45	Facility		$208.93	$1,230.27	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $478.63	Professional		$128.82	$234.42	$478.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $186.21	Professional		$114.82	$169.82	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $323.59	Professional		$128.82	$169.82	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $125.89 / $154.88	Professional		$28.18	$125.89	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $288.40 / $1,862.09	Facility		$151.36	$288.40	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $478.63	Professional		$128.82	$234.42	$478.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $363.08	Professional		$138.04	$190.55	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $660.69 / $1,000.00	Facility		$630.96	$660.69	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $416.87	Professional		$109.65	$181.97	$416.87