Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.58 / $214.62 / $1,838.58	Facility		$86.58	$214.62	$1,838.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $86.58 / $1,380.01	Professional		$86.58	$86.58	$1,380.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $437.10 / $1,058.08	Facility		$203.00	$437.10	$1,058.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $176.41 / $431.98	Professional		$85.85	$176.41	$431.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $155.16 / $605.23	Facility		$92.60	$155.16	$605.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.69 / $142.41 / $316.17	Professional		$99.69	$142.41	$316.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.32 / $371.07 / $718.43	Facility		$146.32	$371.07	$718.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.88 / $146.08 / $623.76	Professional		$114.88	$146.08	$623.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.14 / $214.62 / $289.74	Professional		$120.14	$214.62	$289.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.16 / $246.81 / $472.16	Professional		$193.16	$246.81	$472.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $373.44 / $1,019.45 / $1,019.45	Facility		$373.44	$1,019.45	$1,019.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,073.09 / $1,073.09 / $1,609.65	Professional		$1,073.09	$1,073.09	$1,609.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.54 / $257.54 / $257.54	Professional		$257.54	$257.54	$257.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.50 / $257.54 / $616.73	Facility		$139.50	$257.54	$616.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.07 / $246.81 / $493.11	Professional		$126.07	$246.81	$493.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $753.31 / $753.31 / $753.31	Professional		$753.31	$753.31	$753.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $122.54 / $171.70 / $214.62	Professional		$122.54	$171.70	$214.62
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $96.95 / $516.78	Professional		$90.14	$96.95	$516.78