Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.26 / $559.63 / $1,258.23	Facility		$164.26	$559.63	$1,258.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $164.26 / $1,242.59	Professional		$125.61	$164.26	$1,242.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.14 / $393.57 / $952.72	Facility		$198.14	$393.57	$952.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $236.59 / $560.23	Professional		$77.30	$236.59	$560.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $255.09 / $1,733.45	Facility		$59.40	$255.09	$1,733.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $125.61 / $315.77	Professional		$87.93	$125.61	$315.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.32 / $331.61 / $646.89	Facility		$133.32	$331.61	$646.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $166.16 / $786.94	Professional		$102.94	$166.16	$786.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $193.25 / $260.89	Professional		$154.60	$193.25	$260.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $222.24 / $425.15	Professional		$173.93	$222.24	$425.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $336.26 / $917.94 / $917.94	Facility		$336.26	$917.94	$917.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $966.25 / $966.25 / $1,449.38	Professional		$966.25	$966.25	$1,449.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.60 / $231.90 / $554.32	Facility		$154.60	$231.90	$554.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $222.24 / $523.30	Professional		$103.97	$222.24	$523.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $678.30 / $678.30 / $678.30	Professional		$678.30	$678.30	$678.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $173.93 / $262.82	Professional		$154.60	$173.93	$262.82
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $81.17 / $371.23	Professional		$81.17	$81.17	$371.23