Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,023.29 / $1,698.24	Facility		$346.74	$1,023.29	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $245.47	Professional		$162.18	$204.17	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $616.60 / $1,258.93	Facility		$323.59	$616.60	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $218.78	Professional		$45.71	$54.95	$218.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $575.44 / $2,398.83	Facility		$69.18	$575.44	$2,398.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $575.44	Professional		$144.54	$194.98	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $398.11 / $831.76	Facility		$165.96	$398.11	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $380.19	Professional		$177.83	$302.00	$380.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $245.47 / $398.11	Professional		$100.00	$245.47	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $436.52	Professional		$199.53	$245.47	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $281.84 / $630.96	Facility		$165.96	$281.84	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $245.47	Professional		$177.83	$245.47	$245.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $134.90 / $245.47	Facility		$104.71	$134.90	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $436.52	Professional		$104.71	$109.65	$436.52