Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.28 / $595.55 / $1,362.51	Facility		$139.28	$595.55	$1,362.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $156.99 / $1,345.93	Professional		$97.97	$156.99	$1,345.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.32 / $426.30 / $1,031.95	Facility		$209.32	$426.30	$1,031.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $107.09 / $271.69	Professional		$83.73	$107.09	$271.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $256.05 / $1,674.17	Facility		$59.90	$256.05	$1,674.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $116.84 / $224.77	Professional		$81.79	$116.84	$224.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.06 / $270.87 / $674.86	Facility		$136.06	$270.87	$674.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $240.37 / $319.04	Professional		$89.00	$240.37	$319.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $209.32 / $230.25	Professional		$148.56	$209.32	$230.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $209.32 / $408.17	Professional		$167.46	$209.32	$408.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $364.22 / $994.27 / $994.27	Facility		$364.22	$994.27	$994.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $104.66 / $104.66	Professional		$104.66	$104.66	$104.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $209.32 / $466.82	Facility		$104.66	$209.32	$466.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.27 / $181.44 / $260.66	Professional		$90.27	$181.44	$260.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $734.71 / $734.71 / $734.71	Professional		$734.71	$734.71	$734.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.53 / $167.46 / $209.32	Professional		$151.53	$167.46	$209.32
United Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $87.91 / $290.95	Professional		$77.44	$87.91	$290.95