Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.53 / $683.28 / $1,824.84	Facility		$186.53	$683.28	$1,824.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $211.40 / $958.91	Professional		$150.00	$211.40	$958.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.21 / $529.02 / $1,303.20	Facility		$246.21	$529.02	$1,303.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $229.72 / $610.62	Professional		$105.74	$229.72	$610.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $325.95 / $2,214.96	Facility		$59.40	$325.95	$2,214.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $156.49 / $481.44	Professional		$109.54	$156.49	$481.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.57 / $453.60 / $884.87	Facility		$185.57	$453.60	$884.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $227.24 / $989.31	Professional		$130.69	$227.24	$989.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $264.33 / $356.86	Professional		$190.00	$264.33	$356.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $303.99 / $581.54	Professional		$237.91	$303.99	$581.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $459.95 / $1,255.61 / $1,255.61	Facility		$459.95	$1,255.61	$1,255.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,453.34 / $1,453.34 / $1,982.55	Professional		$1,453.34	$1,453.34	$1,982.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $317.20 / $317.20 / $317.20	Professional		$317.20	$317.20	$317.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $221.97 / $352.87 / $692.44	Facility		$221.97	$352.87	$692.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.79 / $303.99 / $715.29	Professional		$131.79	$303.99	$715.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $927.83 / $927.83 / $927.83	Professional		$927.83	$927.83	$927.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $211.47 / $269.63 / $449.38	Professional		$211.47	$269.63	$449.38
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $525.00 / $525.00	Facility		$525.00	$525.00	$525.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.43 / $158.60 / $709.94	Professional		$147.43	$158.60	$709.94