Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.90 / $284.58 / $2,264.00	Facility		$249.90	$284.58	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.42 / $269.86 / $1,419.51	Professional		$202.42	$269.86	$1,419.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $570.00 / $1,132.41	Facility		$37.22	$570.00	$1,132.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.27 / $289.98 / $627.22	Professional		$230.27	$289.98	$627.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $358.56 / $1,671.23	Facility		$59.40	$358.56	$1,671.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $201.25 / $311.24 / $658.17	Professional		$201.25	$311.24	$658.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.37 / $1,254.00 / $2,653.88	Facility		$420.37	$1,254.00	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.56 / $299.42 / $727.53	Professional		$205.56	$299.42	$727.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $108.14 / $297.12 / $401.11	Professional		$108.14	$297.12	$401.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.18 / $291.54 / $491.50	Professional		$221.18	$291.54	$491.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $474.51 / $1,229.45 / $1,229.45	Facility		$474.51	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,503.61 / $1,503.61 / $1,881.23	Professional		$1,503.61	$1,503.61	$1,881.23
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 $219.19 / $340.20 / $1,972.88	Facility		$219.19	$340.20	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.73 / $290.77 / $722.75	Professional		$203.73	$290.77	$722.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $816.82 / $816.82 / $816.82	Professional		$816.82	$816.82	$816.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $240.32 / $330.44	Professional		$162.22	$240.32	$330.44
United Facility/Professional Facility Modifier Low / Median / High Price $396.05 / $396.05 / $668.97	Facility		$396.05	$396.05	$668.97
United Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $259.92 / $740.82	Professional		$172.97	$259.92	$740.82