Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $588.84 / $977.24	Facility		$199.53	$588.84	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $162.18	Professional		$91.20	$114.82	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $354.81 / $724.44	Facility		$186.21	$354.81	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $158.49	Professional		$19.95	$27.54	$158.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $331.13 / $1,380.38	Facility		$69.18	$331.13	$1,380.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $281.84	Professional		$83.18	$109.65	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $239.88 / $501.19	Facility		$95.50	$239.88	$501.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $190.55	Professional		$114.82	$158.49	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $251.19	Professional		$128.82	$158.49	$251.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,071.52	Professional		$707.95	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $169.82 / $371.54	Facility		$112.20	$169.82	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $204.17	Professional		$141.25	$158.49	$204.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $1,698.24	Professional		$114.82	$141.25	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $141.25 / $141.25	Facility		$60.26	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $275.42	Professional		$60.26	$60.26	$275.42