Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $724.44 / $1,412.54	Facility		$263.03	$724.44	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $831.76	Professional		$93.33	$125.89	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $295.12 / $630.96	Facility		$72.44	$295.12	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $295.12	Professional		$61.66	$107.15	$295.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $354.81 / $1,698.24	Facility		$69.18	$354.81	$1,698.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $354.81	Professional		$100.00	$144.54	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $208.93 / $457.09	Facility		$83.18	$208.93	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $190.55	Professional		$67.61	$102.33	$190.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $151.36	Professional		$100.00	$125.89	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $275.42	Professional		$100.00	$125.89	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $125.89 / $125.89	Professional		$63.10	$125.89	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $151.36 / $354.81	Facility		$91.20	$151.36	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $263.03	Professional		$69.18	$102.33	$263.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $213.80	Professional		$100.00	$128.82	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $75.86 / $125.89	Facility		$56.23	$75.86	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $251.19	Professional		$52.48	$75.86	$251.19