Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $588.84 / $1,148.15	Facility		$229.09	$588.84	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $851.14	Professional		$107.15	$229.09	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $660.69 / $1,412.54	Facility		$131.83	$660.69	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $380.19	Professional		$79.43	$120.23	$380.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $380.19 / $1,348.96	Facility		$69.18	$380.19	$1,348.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $389.05	Professional		$81.28	$114.82	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $478.63 / $954.99	Facility		$125.89	$478.63	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $165.96 / $436.52	Professional		$64.57	$165.96	$436.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $281.84 / $316.23	Professional		$114.82	$281.84	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $616.60	Professional		$229.09	$281.84	$616.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $281.84	Professional		$141.25	$281.84	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $257.04 / $724.44	Facility		$141.25	$257.04	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $151.36 / $537.03	Professional		$64.57	$151.36	$537.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $281.84	Professional		$114.82	$158.49	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $158.49 / $281.84	Facility		$74.13	$158.49	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $120.23 / $478.63	Professional		$57.54	$120.23	$478.63