Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.07 / $228.75 / $2,264.00	Facility		$201.07	$228.75	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.31 / $201.07 / $1,181.56	Professional		$135.31	$201.07	$1,181.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $570.00 / $932.11	Facility		$30.16	$570.00	$932.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.89 / $234.08 / $506.31	Professional		$189.89	$234.08	$506.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $300.42 / $1,364.66	Facility		$59.40	$300.42	$1,364.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $163.86 / $253.52 / $536.21	Professional		$163.86	$253.52	$536.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.51 / $1,563.28 / $3,477.93	Facility		$346.51	$1,563.28	$3,477.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.57 / $246.42 / $599.34	Professional		$165.57	$246.42	$599.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $244.57 / $330.17	Professional		$134.12	$244.57	$330.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $239.97 / $428.28	Professional		$182.00	$239.97	$428.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,336.48 / $1,678.56 / $1,752.56	Facility		$1,336.48	$1,678.56	$1,752.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.50 / $1,227.50 / $1,551.15	Professional		$1,227.50	$1,227.50	$1,551.15
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 $180.32 / $282.32 / $2,561.08	Facility		$180.32	$282.32	$2,561.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.57 / $235.28 / $591.91	Professional		$165.57	$235.28	$591.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $679.88 / $679.88 / $679.88	Professional		$679.88	$679.88	$679.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $197.80 / $250.10 / $327.05	Professional		$197.80	$250.10	$327.05
United Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $380.00 / $1,023.75	Facility		$380.00	$380.00	$1,023.75
United Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $206.07 / $590.94	Professional		$139.94	$206.07	$590.94