Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.22 / $418.31 / $1,358.53	Facility		$154.22	$418.31	$1,358.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.07 / $170.67 / $174.79	Professional		$112.07	$170.67	$174.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.20 / $506.24 / $984.05	Facility		$308.20	$506.24	$984.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $194.50 / $339.92	Professional		$45.77	$194.50	$339.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $280.89 / $1,867.12	Facility		$59.90	$280.89	$1,867.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $160.50 / $293.63	Professional		$112.35	$160.50	$293.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.78 / $314.77 / $633.96	Facility		$139.78	$314.77	$633.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.87 / $283.73 / $354.66	Professional		$130.87	$283.73	$354.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $246.92 / $271.61	Professional		$154.97	$246.92	$271.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $246.92 / $432.11	Professional		$197.54	$246.92	$432.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $385.20 / $1,172.86 / $1,172.86	Facility		$385.20	$1,172.86	$1,172.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.67 / $222.77 / $493.84	Facility		$102.67	$222.77	$493.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.85 / $193.71 / $246.92	Professional		$138.85	$193.71	$246.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $193.71 / $193.71 / $193.71	Professional		$193.71	$193.71	$193.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $197.54 / $246.92	Professional		$158.07	$197.54	$246.92
United Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $86.36 / $326.69	Professional		$81.36	$86.36	$326.69