Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $912.01 / $1,949.84	Facility		$363.08	$912.01	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $1,148.15	Professional		$131.83	$173.78	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $407.38 / $870.96	Facility		$114.82	$407.38	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $512.86	Professional		$144.54	$251.19	$512.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $489.78 / $2,344.23	Facility		$69.18	$489.78	$2,344.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $501.19	Professional		$138.04	$190.55	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $302.00 / $724.44	Facility		$131.83	$302.00	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $549.54	Professional		$112.20	$162.18	$549.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $234.42	Professional		$154.88	$177.83	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $302.00	Professional		$154.88	$190.55	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,412.54	Professional		$1,348.96	$1,348.96	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $275.42 / $524.81	Facility		$147.91	$275.42	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $489.78	Professional		$112.20	$190.55	$489.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $2,290.87	Professional		$138.04	$194.98	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $173.78 / $173.78	Facility		$72.44	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $407.38	Professional		$104.71	$147.91	$407.38