Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $524.81 / $1,023.29	Facility		$190.55	$524.81	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $602.56	Professional		$67.61	$91.20	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $213.80 / $457.09	Facility		$52.48	$213.80	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $213.80	Professional		$44.67	$77.62	$213.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $257.04 / $1,230.27	Facility		$66.07	$257.04	$1,230.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $257.04	Professional		$72.44	$104.71	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $151.36 / $331.13	Facility		$61.66	$151.36	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $158.49	Professional		$53.70	$89.13	$158.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $109.65	Professional		$91.20	$91.20	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $199.53	Professional		$72.44	$91.20	$199.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $91.20 / $91.20	Professional		$45.71	$91.20	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $109.65 / $263.03	Facility		$72.44	$109.65	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $208.93	Professional		$53.70	$83.18	$208.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $154.88	Professional		$72.44	$93.33	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $54.95 / $91.20	Facility		$40.74	$54.95	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $181.97	Professional		$38.02	$54.95	$181.97