Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $851.14 / $1,659.59	Facility		$309.03	$851.14	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $977.24	Professional		$109.65	$147.91	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $346.74 / $741.31	Facility		$85.11	$346.74	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $331.13	Professional		$74.13	$123.03	$331.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $416.87 / $1,995.26	Facility		$69.18	$416.87	$1,995.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $426.58	Professional		$117.49	$169.82	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $251.19 / $549.54	Facility		$100.00	$251.19	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $223.87	Professional		$81.28	$138.04	$223.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $177.83	Professional		$100.00	$147.91	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $323.59	Professional		$117.49	$147.91	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $147.91 / $147.91	Professional		$74.13	$147.91	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $177.83 / $398.11	Facility		$112.20	$177.83	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $309.03	Professional		$89.13	$138.04	$309.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $251.19	Professional		$117.49	$151.36	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $89.13 / $147.91	Facility		$66.07	$89.13	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $295.12	Professional		$61.66	$89.13	$295.12