Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.82 / $470.96 / $1,453.91	Facility		$151.82	$470.96	$1,453.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.32 / $154.12 / $172.06	Professional		$110.32	$154.12	$172.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.15 / $372.30 / $821.44	Facility		$213.15	$372.30	$821.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $105.26 / $326.27	Professional		$80.97	$105.26	$326.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $1,835.95	Facility		$58.70	$100.00	$1,835.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $131.57 / $330.75	Professional		$92.10	$131.57	$330.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $274.95 / $548.84	Facility		$120.42	$274.95	$548.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $163.96 / $221.35	Professional		$131.16	$163.96	$221.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $188.55 / $360.71	Professional		$147.56	$188.55	$360.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $285.29 / $778.81 / $778.81	Facility		$285.29	$778.81	$778.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $819.80 / $819.80 / $1,229.70	Professional		$819.80	$819.80	$1,229.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.97 / $204.95 / $470.29	Facility		$131.97	$204.95	$470.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $188.55 / $245.94	Professional		$163.96	$188.55	$245.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $163.96 / $163.96	Professional		$163.96	$163.96	$163.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $147.56 / $222.99	Professional		$131.16	$147.56	$222.99
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $85.02 / $329.07	Professional		$68.86	$85.02	$329.07