Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $198.46 / $2,264.00	Facility		$174.44	$198.46	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $174.84 / $1,157.93	Professional		$118.89	$174.84	$1,157.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $570.00 / $876.00	Facility		$27.08	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.59 / $197.96 / $438.39	Professional		$128.59	$197.96	$438.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $165.54 / $771.67	Facility		$59.40	$165.54	$771.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $144.07 / $222.83 / $468.84	Professional		$144.07	$222.83	$468.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.61 / $1,205.06 / $2,653.88	Facility		$367.61	$1,205.06	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.91 / $224.52 / $587.73	Professional		$127.91	$224.52	$587.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.83 / $228.47 / $308.43	Professional		$120.83	$228.47	$308.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.02 / $224.22 / $393.93	Professional		$170.02	$224.22	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $364.27 / $1,229.45 / $1,229.45	Facility		$364.27	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.78 / $1,288.78 / $1,450.28	Professional		$1,288.78	$1,288.78	$1,450.28
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 $140.43 / $240.07 / $1,972.88	Facility		$140.43	$240.07	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.60 / $223.35 / $550.67	Professional		$124.60	$223.35	$550.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $666.30 / $666.30 / $666.30	Professional		$666.30	$666.30	$666.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.24 / $225.31 / $294.63	Professional		$181.24	$225.31	$294.63
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 $121.13 / $190.40 / $605.94	Professional		$121.13	$190.40	$605.94