Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $676.08 / $1,230.27	Facility		$275.42	$676.08	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $1,230.27	Professional		$120.23	$158.49	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $436.52 / $933.25	Facility		$85.11	$436.52	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $426.58	Professional		$162.18	$194.98	$426.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $398.11 / $524.81	Facility		$100.00	$398.11	$524.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $363.08	Professional		$107.15	$144.54	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $316.23 / $676.08	Facility		$125.89	$316.23	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $426.58	Professional		$95.50	$125.89	$426.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $251.19	Professional		$147.91	$186.21	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $323.59	Professional		$165.96	$204.17	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $1,380.38	Professional		$933.25	$1,380.38	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $223.87 / $549.54	Facility		$147.91	$223.87	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $380.19	Professional		$97.72	$186.21	$380.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $2,238.72	Professional		$147.91	$186.21	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $186.21 / $186.21	Facility		$77.62	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $354.81	Professional		$77.62	$77.62	$354.81