Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.88 / $257.16 / $2,264.00	Facility		$225.88	$257.16	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.58 / $225.88 / $1,130.13	Professional		$181.58	$225.88	$1,130.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.19 / $570.00 / $1,063.57	Facility		$32.19	$570.00	$1,063.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $240.49 / $553.59	Professional		$139.19	$240.49	$553.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $187.34 / $893.00	Facility		$59.40	$187.34	$893.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $277.83 / $592.04	Professional		$179.58	$277.83	$592.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.57 / $1,244.26 / $2,653.88	Facility		$379.57	$1,244.26	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.78 / $267.69 / $652.46	Professional		$148.78	$267.69	$652.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $279.80 / $377.73	Professional		$67.50	$279.80	$377.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.95 / $274.14 / $462.10	Professional		$207.95	$274.14	$462.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $445.44 / $1,229.45 / $1,229.45	Facility		$445.44	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,334.29 / $1,334.29 / $1,766.78	Professional		$1,334.29	$1,334.29	$1,766.78
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 $152.75 / $287.49 / $1,972.88	Facility		$152.75	$287.49	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.78 / $260.41 / $648.41	Professional		$148.78	$260.41	$648.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $739.78 / $739.78 / $739.78	Professional		$739.78	$739.78	$739.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $164.60 / $311.18	Professional		$101.25	$164.60	$311.18
United Facility/Professional Facility Modifier Low / Median / High Price $396.05 / $668.97 / $668.97	Facility		$396.05	$668.97	$668.97
United Facility/Professional Professional Modifier Low / Median / High Price $152.93 / $224.12 / $671.18	Professional		$152.93	$224.12	$671.18