Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.47 / $242.09 / $2,264.00	Facility		$220.47	$242.09	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $202.78 / $1,293.63	Professional		$136.55	$202.78	$1,293.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.12 / $570.00 / $876.00	Facility		$66.12	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $422.68 / $802.28	Professional		$235.16	$422.68	$802.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $1,936.07	Facility		$57.50	$100.00	$1,936.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $166.99 / $267.16 / $649.79	Professional		$166.99	$267.16	$649.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.57 / $159.57 / $6,162.00	Facility		$159.57	$159.57	$6,162.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $275.95 / $634.20	Professional		$162.97	$275.95	$634.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $186.00 / $223.20	Professional		$159.15	$186.00	$223.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $160.88 / $351.67	Professional		$123.35	$160.88	$351.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $287.07 / $763.83 / $763.83	Facility		$287.07	$763.83	$763.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,279.19 / $1,279.19 / $1,279.19	Professional		$1,279.19	$1,279.19	$1,279.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.06 / $178.67 / $350.32	Facility		$137.06	$178.67	$350.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.56 / $294.49 / $604.29	Professional		$168.56	$294.49	$604.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $744.39 / $744.39 / $744.39	Professional		$744.39	$744.39	$744.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $176.98 / $316.19	Professional		$128.71	$176.98	$316.19
United Facility/Professional Professional Modifier Low / Median / High Price $172.29 / $225.92 / $576.01	Professional		$172.29	$225.92	$576.01