Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.63 / $710.04 / $1,532.33	Facility		$156.63	$710.04	$1,532.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $156.63 / $954.28	Professional		$78.66	$156.63	$954.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.61 / $312.00 / $743.53	Facility		$162.61	$312.00	$743.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $116.93 / $285.89	Professional		$73.29	$116.93	$285.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $287.13 / $1,883.19	Facility		$59.90	$287.13	$1,883.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $131.40 / $243.03	Professional		$91.98	$131.40	$243.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.06 / $192.05 / $496.82	Facility		$102.06	$192.05	$496.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $176.47 / $263.83	Professional		$93.40	$176.47	$263.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $148.41 / $237.46	Professional		$99.00	$148.41	$237.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.73 / $148.41 / $323.52	Professional		$118.73	$148.41	$323.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $311.00 / $704.95 / $704.95	Facility		$311.00	$704.95	$704.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $74.20 / $74.20	Professional		$74.20	$74.20	$74.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $171.72 / $371.03	Facility		$104.67	$171.72	$371.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $148.41 / $291.23	Professional		$94.87	$148.41	$291.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $520.91 / $520.91 / $520.91	Professional		$520.91	$520.91	$520.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.73 / $148.41 / $207.77	Professional		$118.73	$148.41	$207.77
United Facility/Professional Facility Modifier Low / Median / High Price $62.33 / $148.41 / $148.41	Facility		$62.33	$148.41	$148.41
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $88.28 / $294.86	Professional		$62.33	$88.28	$294.86