Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $426.58 / $1,819.70	Facility		$218.78	$426.58	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $794.33	Professional		$141.25	$199.53	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $74.13 / $562.34	Facility		$66.07	$74.13	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $724.44	Professional		$269.15	$436.52	$724.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $616.60 / $2,041.74	Facility		$58.88	$616.60	$2,041.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $645.65	Professional		$239.88	$338.84	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $5,623.41 / $6,165.95	Facility		$190.55	$5,623.41	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $489.78	Professional		$141.25	$269.15	$489.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $223.87	Professional		$141.25	$186.21	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $316.23	Professional		$102.33	$131.83	$316.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $363.08	Facility		$131.83	$190.55	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $275.42 / $501.19	Professional		$123.03	$275.42	$501.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $316.23	Professional		$114.82	$186.21	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $467.74	Professional		$169.82	$223.87	$467.74