Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.58 / $203.45 / $2,264.00	Facility		$179.58	$203.45	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $160.19 / $738.91	Professional		$113.82	$160.19	$738.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.02 / $570.00 / $876.00	Facility		$34.02	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $265.45 / $521.16	Professional		$168.28	$265.45	$521.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $266.48 / $2,878.14	Facility		$59.40	$266.48	$2,878.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $211.19 / $467.38	Professional		$137.80	$211.19	$467.38
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 $147.66 / $242.15 / $491.25	Professional		$147.66	$242.15	$491.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $162.78 / $219.75	Professional		$115.36	$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 $362.71 / $1,229.45 / $1,229.45	Facility		$362.71	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.68 / $1,841.31 / $1,841.31	Professional		$1,787.68	$1,841.31	$1,841.31
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 $133.13 / $265.68 / $1,972.88	Facility		$133.13	$265.68	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.55 / $243.29 / $477.62	Professional		$137.55	$243.29	$477.62
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 $131.65 / $181.02 / $363.75	Professional		$131.65	$181.02	$363.75
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 $110.13 / $171.12 / $431.24	Professional		$110.13	$171.12	$431.24