Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.87 / $864.83 / $1,944.41	Facility		$247.87	$864.83	$1,944.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.68 / $247.87 / $1,555.42	Professional		$188.68	$247.87	$1,555.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.31 / $486.00 / $1,192.57	Facility		$225.31	$486.00	$1,192.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $365.62 / $865.77	Professional		$119.46	$365.62	$865.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $394.20 / $2,678.80	Facility		$59.40	$394.20	$2,678.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $194.12 / $488.00	Professional		$135.88	$194.12	$488.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.68 / $415.11 / $834.72	Facility		$177.68	$415.11	$834.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $242.67 / $1,192.08	Professional		$149.44	$242.67	$1,192.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $215.01 / $247.26 / $326.57	Professional		$215.01	$247.26	$326.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $278.19 / $532.17	Professional		$217.71	$278.19	$532.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $420.91 / $1,149.03 / $1,149.03	Facility		$420.91	$1,149.03	$1,149.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.50 / $1,209.50 / $1,814.25	Professional		$1,209.50	$1,209.50	$1,814.25
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 $206.05 / $311.33 / $700.60	Facility		$206.05	$311.33	$700.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $290.27 / $668.76	Professional		$160.68	$290.27	$668.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $849.06 / $849.06 / $849.06	Professional		$849.06	$849.06	$849.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $240.81 / $365.52	Professional		$193.52	$240.81	$365.52
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $125.43 / $484.32	Professional		$101.60	$125.43	$484.32