Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.84 / $244.91 / $2,264.00	Facility		$215.84	$244.91	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $215.84 / $1,252.11	Professional		$141.57	$215.84	$1,252.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $570.00 / $988.47	Facility		$40.14	$570.00	$988.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.10 / $248.17 / $541.32	Professional		$197.10	$248.17	$541.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $282.83 / $1,274.33	Facility		$59.40	$282.83	$1,274.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $171.45 / $264.80 / $573.33	Professional		$171.45	$264.80	$573.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.13 / $1,204.39 / $2,653.88	Facility		$352.13	$1,204.39	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $250.43 / $634.46	Professional		$172.35	$250.43	$634.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $257.93 / $348.21	Professional		$86.52	$257.93	$348.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $253.87 / $452.56	Professional		$192.63	$253.87	$452.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $414.35 / $1,229.45 / $1,229.45	Facility		$414.35	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,301.77 / $1,301.77 / $1,644.08	Professional		$1,301.77	$1,301.77	$1,644.08
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 $185.50 / $286.99 / $1,972.88	Facility		$185.50	$286.99	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $247.03 / $632.30	Professional		$172.35	$247.03	$632.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $720.49 / $720.49 / $720.49	Professional		$720.49	$720.49	$720.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $208.61 / $286.83	Professional		$129.78	$208.61	$286.83
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 $149.88 / $220.95 / $606.29	Professional		$149.88	$220.95	$606.29