Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.08 / $192.23 / $2,264.00	Facility		$169.08	$192.23	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $169.08 / $1,033.72	Professional		$95.68	$169.08	$1,033.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $570.00 / $876.00	Facility		$25.27	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $184.94 / $419.88	Professional		$133.88	$184.94	$419.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $205.85 / $918.88	Facility		$59.40	$205.85	$918.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $122.14 / $179.27 / $440.03	Professional		$122.14	$179.27	$440.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.41 / $1,204.39 / $2,653.88	Facility		$306.41	$1,204.39	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.62 / $203.15 / $518.51	Professional		$121.62	$203.15	$518.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $216.36 / $292.08	Professional		$60.59	$216.36	$292.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $212.19 / $385.89	Professional		$160.91	$212.19	$385.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $344.68 / $1,229.45 / $1,229.45	Facility		$344.68	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.14 / $1,080.14 / $1,370.85	Professional		$1,080.14	$1,080.14	$1,370.85
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 $137.88 / $227.27 / $1,972.88	Facility		$137.88	$227.27	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.68 / $197.08 / $512.61	Professional		$118.68	$197.08	$512.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $594.83 / $594.83 / $594.83	Professional		$594.83	$594.83	$594.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $147.74 / $240.61	Professional		$90.88	$147.74	$240.61
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 $116.15 / $180.01 / $501.17	Professional		$116.15	$180.01	$501.17