Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.14 / $729.99 / $2,370.89	Facility		$269.14	$729.99	$2,370.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.57 / $269.14 / $305.02	Professional		$195.57	$269.14	$305.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.87 / $645.91 / $1,608.02	Facility		$353.87	$645.91	$1,608.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $336.25 / $593.20	Professional		$5.95	$336.25	$593.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $490.19 / $3,258.36	Facility		$59.90	$490.19	$3,258.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $209.92 / $398.85	Professional		$146.94	$209.92	$398.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $424.04 / $1,041.20	Facility		$225.68	$424.04	$1,041.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.49 / $393.59 / $491.99	Professional		$231.49	$393.59	$491.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $258.37 / $322.95 / $355.26	Professional		$258.37	$322.95	$355.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.37 / $322.95 / $565.17	Professional		$258.37	$322.95	$565.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $516.74 / $1,534.06 / $1,534.06	Facility		$516.74	$1,534.06	$1,534.06
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 $171.17 / $322.95 / $720.68	Facility		$171.17	$322.95	$720.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.49 / $322.95 / $366.03	Professional		$231.49	$322.95	$366.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $322.95 / $322.95	Professional		$322.95	$322.95	$322.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $258.37 / $289.37 / $361.72	Professional		$258.37	$289.37	$361.72
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $150.72 / $586.46	Professional		$135.63	$150.72	$586.46