Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.45 / $819.21 / $1,841.85	Facility		$240.45	$819.21	$1,841.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $240.45 / $1,818.92	Professional		$183.87	$240.45	$1,818.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $566.13 / $1,394.60	Facility		$260.00	$566.13	$1,394.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $265.07 / $649.08	Professional		$113.15	$265.07	$649.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $427.15 / $777.92	Facility		$98.20	$427.15	$777.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $183.87 / $462.23	Professional		$128.71	$183.87	$462.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.29 / $474.38 / $946.93	Facility		$192.29	$474.38	$946.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.77 / $235.48 / $859.00	Professional		$149.77	$235.48	$859.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $226.30 / $282.88 / $381.89	Professional		$226.30	$282.88	$381.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $325.31 / $616.67	Professional		$254.59	$325.31	$616.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $492.21 / $1,343.68 / $1,343.68	Facility		$492.21	$1,343.68	$1,343.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.40 / $1,414.40 / $2,121.60	Professional		$1,414.40	$1,414.40	$2,121.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.30 / $339.46 / $811.42	Facility		$226.30	$339.46	$811.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.99 / $321.30 / $764.99	Professional		$151.99	$321.30	$764.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $992.90 / $992.90 / $992.90	Professional		$992.90	$992.90	$992.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $226.30 / $254.59 / $384.71	Professional		$226.30	$254.59	$384.71
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $127.30 / $562.03	Professional		$118.81	$127.30	$562.03