Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.58 / $289.68 / $1,633.36	Facility		$86.58	$289.68	$1,633.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $107.91 / $931.32	Professional		$86.58	$107.91	$931.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.24 / $312.00 / $725.65	Facility		$155.24	$312.00	$725.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $71.52 / $210.01	Professional		$57.44	$71.52	$210.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $88.64 / $104.72 / $408.45	Facility		$88.64	$104.72	$408.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $128.25 / $217.87	Professional		$89.78	$128.25	$217.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.39 / $250.44 / $504.27	Facility		$106.39	$250.44	$504.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $118.53 / $520.15	Professional		$80.48	$118.53	$520.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $144.84 / $195.53	Professional		$72.30	$144.84	$195.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.36 / $166.57 / $318.64	Professional		$130.36	$166.57	$318.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $252.02 / $687.99 / $687.99	Facility		$252.02	$687.99	$687.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.20 / $724.20 / $1,086.30	Professional		$724.20	$724.20	$1,086.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.81 / $173.81 / $173.81	Professional		$173.81	$173.81	$173.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.87 / $173.81 / $438.74	Facility		$115.87	$173.81	$438.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $170.17 / $397.46	Professional		$96.22	$170.17	$397.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $508.38 / $508.38 / $508.38	Professional		$508.38	$508.38	$508.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $115.87 / $144.84	Professional		$73.75	$115.87	$144.84
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $82.99 / $287.77	Professional		$60.83	$82.99	$287.77