Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $163.89 / $1,929.00	Facility		$66.20	$163.89	$1,929.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $1,929.00	Professional		$66.20	$66.20	$1,929.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.45 / $598.50 / $1,479.00	Facility		$261.45	$598.50	$1,479.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $123.60 / $402.00	Professional		$44.04	$123.60	$402.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $170.39 / $678.00	Facility		$97.00	$170.39	$678.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $56.86 / $193.23	Professional		$39.79	$56.86	$193.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.05 / $514.79 / $1,004.25	Facility		$193.05	$514.79	$1,004.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $180.00 / $579.66	Professional		$47.44	$180.00	$579.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $300.00 / $405.00	Professional		$69.90	$300.00	$405.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $345.00 / $654.00	Professional		$270.00	$345.00	$654.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $522.00 / $1,425.00 / $1,425.00	Facility		$522.00	$1,425.00	$1,425.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $2,250.00	Professional		$1,500.00	$1,500.00	$2,250.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.67 / $360.00 / $862.10	Facility		$94.67	$360.00	$862.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $330.00 / $600.00	Professional		$67.58	$330.00	$600.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,053.00 / $1,053.00 / $1,053.00	Professional		$1,053.00	$1,053.00	$1,053.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $118.83 / $300.00	Professional		$71.30	$118.83	$300.00
United Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $300.00 / $300.00	Facility		$126.00	$300.00	$300.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $126.00 / $666.90	Professional		$36.79	$126.00	$666.90