Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $758.58 / $1,479.11	Facility		$295.12	$758.58	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $1,071.52	Professional		$138.04	$169.82	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $489.78 / $1,047.13	Facility		$97.72	$489.78	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $346.74	Professional		$83.18	$117.49	$346.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $467.74 / $1,778.28	Facility		$69.18	$467.74	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $426.58	Professional		$104.71	$151.36	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $346.74 / $707.95	Facility		$134.90	$346.74	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $316.23	Professional		$87.10	$131.83	$316.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $229.09	Professional		$147.91	$208.93	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $457.09	Professional		$165.96	$208.93	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $208.93	Professional		$104.71	$208.93	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $218.78 / $524.81	Facility		$104.71	$218.78	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $416.87	Professional		$89.13	$138.04	$416.87
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 $147.91 / $190.55 / $251.19	Professional		$147.91	$190.55	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $114.82 / $208.93	Facility		$91.20	$114.82	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $363.08	Professional		$77.62	$87.10	$363.08