Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $566.39 / $1,295.77	Facility		$132.44	$566.39	$1,295.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $100.40 / $503.23	Professional		$66.52	$100.40	$503.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.51 / $282.52 / $628.76	Facility		$137.51	$282.52	$628.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $98.87 / $254.10	Professional		$61.98	$98.87	$254.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $242.79 / $1,592.09	Facility		$59.90	$242.79	$1,592.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $205.51	Professional		$77.78	$111.12	$205.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.02 / $162.41 / $420.14	Facility		$86.02	$162.41	$420.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $149.06 / $197.96	Professional		$69.59	$149.06	$197.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $125.50 / $200.80	Professional		$99.00	$125.50	$200.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $125.50 / $273.58	Professional		$100.40	$125.50	$273.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.00 / $596.13 / $596.13	Facility		$263.00	$596.13	$596.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $62.75 / $62.75	Professional		$62.75	$62.75	$62.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.40 / $145.21 / $328.85	Facility		$91.40	$145.21	$328.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.69 / $125.50 / $251.00	Professional		$70.69	$125.50	$251.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $440.50 / $440.50 / $440.50	Professional		$440.50	$440.50	$440.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $125.50 / $175.70	Professional		$100.40	$125.50	$175.70
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $74.65 / $242.68	Professional		$52.71	$74.65	$242.68