Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.93 / $818.65 / $1,827.00	Facility		$179.93	$818.65	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $179.93 / $1,091.56	Professional		$122.43	$179.93	$1,091.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $570.00 / $876.00	Facility		$29.74	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.36 / $192.78 / $436.65	Professional		$136.36	$192.78	$436.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $199.70 / $893.00	Facility		$59.40	$199.70	$893.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $229.13 / $478.52	Professional		$148.18	$229.13	$478.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.77 / $1,204.39 / $2,653.88	Facility		$278.77	$1,204.39	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.73 / $215.22 / $544.27	Professional		$123.73	$215.22	$544.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $173.59 / $234.35	Professional		$86.52	$173.59	$234.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.84 / $171.35 / $331.82	Professional		$129.84	$171.35	$331.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.51 / $1,229.45 / $1,229.45	Facility		$309.51	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.68 / $1,140.68 / $1,140.68	Professional		$1,140.68	$1,140.68	$1,140.68
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 $138.25 / $210.60 / $1,972.88	Facility		$138.25	$210.60	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.65 / $199.05 / $522.13	Professional		$119.65	$199.05	$522.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $628.09 / $628.09 / $628.09	Professional		$628.09	$628.09	$628.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $161.34 / $210.98	Professional		$129.78	$161.34	$210.98
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 $115.26 / $187.94 / $570.45	Professional		$115.26	$187.94	$570.45