Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $478.63 / $851.14	Facility		$169.82	$478.63	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $912.01	Professional		$89.13	$114.82	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $316.23 / $691.83	Facility		$63.10	$316.23	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $316.23	Professional		$120.23	$144.54	$316.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $295.12 / $389.05	Facility		$97.72	$295.12	$389.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $269.15	Professional		$79.43	$107.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $234.42 / $501.19	Facility		$93.33	$234.42	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $316.23	Professional		$70.79	$93.33	$316.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $186.21	Professional		$109.65	$138.04	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $239.88	Professional		$123.03	$151.36	$239.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,023.29	Professional		$691.83	$1,023.29	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $165.96 / $407.38	Facility		$107.15	$165.96	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $281.84	Professional		$72.44	$138.04	$281.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $1,659.59	Professional		$109.65	$138.04	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $138.04 / $138.04	Facility		$57.54	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $263.03	Professional		$57.54	$57.54	$263.03