Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.79 / $223.22 / $2,264.00	Facility		$197.79	$223.22	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $197.79 / $1,212.86	Professional		$112.55	$197.79	$1,212.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $570.00 / $964.88	Facility		$50.10	$570.00	$964.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.11 / $263.30 / $529.80	Professional		$204.11	$263.30	$529.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $248.70 / $1,581.71	Facility		$59.40	$248.70	$1,581.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $144.12 / $210.32 / $514.79	Professional		$144.12	$210.32	$514.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.58 / $1,204.39 / $2,653.88	Facility		$322.58	$1,204.39	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.48 / $253.96 / $611.10	Professional		$169.48	$253.96	$611.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $249.93 / $337.41	Professional		$94.32	$249.93	$337.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.58 / $247.75 / $439.68	Professional		$187.58	$247.75	$439.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $414.76 / $1,229.45 / $1,229.45	Facility		$414.76	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,484.44 / $1,484.44 / $1,602.68	Professional		$1,484.44	$1,484.44	$1,602.68
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 $187.06 / $294.27 / $1,972.88	Facility		$187.06	$294.27	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.31 / $253.65 / $604.52	Professional		$162.31	$253.65	$604.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $697.90 / $697.90 / $697.90	Professional		$697.90	$697.90	$697.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $202.93 / $277.93	Professional		$141.47	$202.93	$277.93
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 $155.46 / $212.21 / $586.32	Professional		$155.46	$212.21	$586.32