Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.25 / $313.13 / $1,842.16	Facility		$86.25	$313.13	$1,842.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $120.59 / $679.19	Professional		$97.31	$120.59	$679.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.00 / $336.15 / $821.44	Facility		$169.00	$336.15	$821.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $75.26 / $237.74	Professional		$57.44	$75.26	$237.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $118.54 / $462.37	Facility		$92.60	$118.54	$462.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $145.18 / $247.76	Professional		$101.63	$145.18	$247.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $283.48 / $570.79	Facility		$120.42	$283.48	$570.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.14 / $134.04 / $588.17	Professional		$91.14	$134.04	$588.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $163.96 / $221.35	Professional		$86.70	$163.96	$221.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $188.55 / $360.71	Professional		$147.56	$188.55	$360.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $285.29 / $778.81 / $778.81	Facility		$285.29	$778.81	$778.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $819.80 / $819.80 / $1,229.70	Professional		$819.80	$819.80	$1,229.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.75 / $196.75 / $196.75	Professional		$196.75	$196.75	$196.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $196.75 / $496.62	Facility		$131.16	$196.75	$496.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.98 / $192.88 / $449.63	Professional		$108.98	$192.88	$449.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $575.49 / $575.49 / $575.49	Professional		$575.49	$575.49	$575.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $131.16 / $163.96	Professional		$88.43	$131.16	$163.96
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $93.95 / $328.29	Professional		$68.86	$93.95	$328.29