Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.19 / $502.31 / $1,631.32	Facility		$185.19	$502.31	$1,631.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.57 / $185.19 / $209.88	Professional		$134.57	$185.19	$209.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.20 / $531.47 / $1,229.41	Facility		$308.20	$531.47	$1,229.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $40.01 / $170.37	Professional		$31.92	$40.01	$170.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $337.29 / $2,242.03	Facility		$59.90	$337.29	$2,242.03
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 $167.85 / $324.20 / $796.08	Facility		$167.85	$324.20	$796.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $301.08 / $376.35	Professional		$283.73	$301.08	$376.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $246.92 / $271.61	Professional		$197.54	$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 $395.07 / $1,172.86 / $1,172.86	Facility		$395.07	$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 $162.35 / $246.92 / $551.01	Facility		$162.35	$246.92	$551.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.13 / $246.92 / $271.61	Professional		$190.13	$246.92	$271.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $246.92 / $246.92	Professional		$246.92	$246.92	$246.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $221.24 / $276.56	Professional		$197.54	$221.24	$276.56
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $103.71 / $416.43	Professional		$103.71	$103.71	$416.43