Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $379.52 / $892.01	Facility		$116.45	$379.52	$892.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $116.45 / $880.91	Professional		$89.05	$116.45	$880.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.84 / $297.69 / $686.37	Facility		$146.84	$297.69	$686.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $128.37 / $314.33	Professional		$54.80	$128.37	$314.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $206.87 / $376.75	Facility		$96.60	$206.87	$376.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $89.05 / $223.86	Professional		$62.34	$89.05	$223.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $229.75 / $458.61	Facility		$93.13	$229.75	$458.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $114.11 / $415.82	Professional		$72.50	$114.11	$415.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $137.00 / $184.95	Professional		$109.60	$137.00	$184.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $157.55 / $301.39	Professional		$123.30	$157.55	$301.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $238.38 / $650.75 / $650.75	Facility		$238.38	$650.75	$650.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $685.00 / $685.00 / $1,027.50	Professional		$685.00	$685.00	$1,027.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.60 / $164.40 / $392.98	Facility		$109.60	$164.40	$392.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $155.69 / $370.31	Professional		$73.58	$155.69	$370.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $480.87 / $480.87 / $480.87	Professional		$480.87	$480.87	$480.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $123.30 / $186.32	Professional		$109.60	$123.30	$186.32
United Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Facility		$137.00	$137.00	$137.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $59.86 / $352.50	Professional		$57.54	$59.86	$352.50