Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.04 / $355.54 / $1,035.73	Facility		$76.04	$355.54	$1,035.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $86.17 / $1,040.89	Professional		$53.49	$86.17	$1,040.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.74 / $331.89 / $811.02	Facility		$171.74	$331.89	$811.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.74 / $64.75 / $168.36	Professional		$56.74	$64.75	$168.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $139.79 / $913.81	Facility		$59.90	$139.79	$913.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $63.79 / $122.84	Professional		$44.65	$63.79	$122.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.86 / $209.48 / $521.89	Facility		$85.86	$209.48	$521.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $185.85 / $246.76	Professional		$49.63	$185.85	$246.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $161.88 / $178.07	Professional		$81.09	$161.88	$178.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $161.88 / $315.67	Professional		$129.50	$161.88	$315.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $259.01 / $768.93 / $768.93	Facility		$259.01	$768.93	$768.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $80.94 / $80.94	Professional		$80.94	$80.94	$80.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $145.69 / $347.00	Facility		$86.17	$145.69	$347.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.57 / $104.08 / $197.91	Professional		$50.57	$104.08	$197.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $568.19 / $568.19 / $568.19	Professional		$568.19	$568.19	$568.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $129.50 / $145.69	Professional		$82.72	$129.50	$145.69
United Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $67.98 / $293.95	Professional		$41.28	$67.98	$293.95