Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $338.84 / $1,819.70	Facility		$128.82	$338.84	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $660.69	Professional		$87.10	$117.49	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $31.62 / $562.34	Facility		$28.84	$31.62	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $389.05	Professional		$134.90	$199.53	$389.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $537.03 / $1,348.96	Facility		$69.18	$537.03	$1,348.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $416.87	Professional		$147.91	$190.55	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,230.27 / $3,890.45	Facility		$173.78	$1,230.27	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $323.59	Professional		$104.71	$165.96	$323.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $154.88	Professional		$70.79	$141.25	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $263.03	Professional		$107.15	$138.04	$263.03
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 $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $93.33 / $117.49	Professional		$24.55	$93.33	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $199.53 / $1,862.09	Facility		$123.03	$199.53	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $331.13	Professional		$100.00	$165.96	$331.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $169.82	Professional		$104.71	$131.83	$169.82
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 $93.33 / $128.82 / $295.12	Professional		$93.33	$128.82	$295.12