Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $229.09 / $3,548.13	Facility		$141.25	$229.09	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $2,754.23	Professional		$104.71	$109.65	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $131.83 / $275.42	Facility		$112.20	$131.83	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $602.56	Professional		$104.71	$117.49	$602.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $112.20 / $346.74	Facility		$85.11	$112.20	$346.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $363.08	Professional		$107.15	$128.82	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $104.71	Facility		$97.72	$97.72	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $128.82	Professional		$104.71	$104.71	$128.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $147.91	Professional		$109.65	$109.65	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $257.04	Professional		$93.33	$114.82	$257.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $125.89 / $354.81	Facility		$104.71	$125.89	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $169.82	Professional		$72.44	$72.44	$169.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $123.03	Professional		$57.54	$79.43	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,023.29 / $1,023.29	Facility		$104.71	$1,023.29	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $158.49	Professional		$104.71	$104.71	$158.49