Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.14 / $432.47 / $1,188.83	Facility		$124.14	$432.47	$1,188.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $137.38 / $140.69	Professional		$90.21	$137.38	$140.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.36 / $448.08 / $840.15	Facility		$258.36	$448.08	$840.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $188.75 / $379.79	Professional		$45.77	$188.75	$379.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $218.49 / $1,484.71	Facility		$59.40	$218.49	$1,484.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $129.18 / $324.75	Professional		$90.43	$129.18	$324.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.51 / $261.41 / $498.62	Facility		$112.51	$261.41	$498.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $112.55 / $112.55	Professional		$112.55	$112.55	$112.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $119.17 / $198.74 / $268.30	Professional		$119.17	$198.74	$268.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.87 / $228.55 / $424.99	Professional		$178.87	$228.55	$424.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $345.81 / $944.02 / $944.02	Facility		$345.81	$944.02	$944.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $989.73 / $989.73 / $1,490.55	Professional		$989.73	$989.73	$1,490.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.18 / $238.49 / $439.85	Facility		$129.18	$238.49	$439.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.86 / $180.24 / $223.44	Professional		$163.86	$180.24	$223.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $148.96 / $148.96 / $148.96	Professional		$148.96	$148.96	$148.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $158.99 / $202.59	Professional		$121.55	$158.99	$202.59
United Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $70.18 / $398.56	Professional		$62.56	$70.18	$398.56