Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.52 / $557.61 / $1,075.48	Facility		$129.52	$557.61	$1,075.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $143.33 / $1,064.86	Professional		$100.30	$143.33	$1,064.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.70 / $339.53 / $829.71	Facility		$175.70	$339.53	$829.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $106.41 / $262.26	Professional		$66.72	$106.41	$262.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $237.47 / $1,557.04	Facility		$59.90	$237.47	$1,557.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $119.62 / $221.21	Professional		$83.73	$119.62	$221.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.65 / $214.31 / $542.02	Facility		$107.65	$214.31	$542.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.40 / $190.39 / $288.00	Professional		$97.40	$190.39	$288.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $165.61 / $182.17	Professional		$145.11	$165.61	$182.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.49 / $165.61 / $361.03	Professional		$132.49	$165.61	$361.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.16 / $786.65 / $786.65	Facility		$288.16	$786.65	$786.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $82.81 / $82.81	Professional		$82.81	$82.81	$82.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.93 / $169.86 / $395.49	Facility		$115.93	$169.86	$395.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $165.61 / $315.36	Professional		$99.36	$165.61	$315.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $581.29 / $581.29 / $581.29	Professional		$581.29	$581.29	$581.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.49 / $149.05 / $203.15	Professional		$132.49	$149.05	$203.15
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $80.36 / $279.30	Professional		$69.56	$80.36	$279.30