Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $331.13 / $1,819.70	Facility		$117.49	$331.13	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $645.65	Professional		$85.11	$117.49	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $28.18 / $549.54	Facility		$25.70	$28.18	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $407.38	Professional		$131.83	$204.17	$407.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $549.54 / $1,479.11	Facility		$69.18	$549.54	$1,479.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $371.54	Professional		$109.65	$165.96	$371.54
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 $93.33 / $154.88 / $309.03	Professional		$93.33	$154.88	$309.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $151.36	Professional		$87.10	$138.04	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $263.03	Professional		$104.71	$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 $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $75.86 / $95.50	Professional		$18.62	$75.86	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $204.17 / $1,862.09	Facility		$117.49	$204.17	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $302.00	Professional		$93.33	$158.49	$302.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $208.93	Professional		$114.82	$154.88	$208.93
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 $91.20 / $125.89 / $288.40	Professional		$91.20	$125.89	$288.40