Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.24 / $1,048.23 / $1,190.32	Facility		$370.24	$1,048.23	$1,190.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $1,048.23 / $1,190.32	Professional		$148.10	$1,048.23	$1,190.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.80 / $377.02 / $912.64	Facility		$189.80	$377.02	$912.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $2,045.06 / $4,199.21	Professional		$74.05	$2,045.06	$4,199.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $133.84 / $522.04	Facility		$92.60	$133.84	$522.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $941.65 / $1,345.22 / $3,336.15	Professional		$941.65	$1,345.22	$3,336.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $358.10 / $619.70	Facility		$135.97	$358.10	$619.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $159.34 / $500.90	Professional		$98.66	$159.34	$500.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $185.12 / $249.91	Professional		$148.10	$185.12	$249.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.61 / $212.89 / $403.56	Professional		$166.61	$212.89	$403.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $322.11 / $879.32 / $879.32	Facility		$322.11	$879.32	$879.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $925.60 / $925.60 / $1,388.40	Professional		$925.60	$925.60	$1,388.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $185.12 / $185.12	Professional		$185.12	$185.12	$185.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.07 / $253.61 / $863.65	Facility		$172.07	$253.61	$863.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.59 / $212.89 / $370.24	Professional		$122.59	$212.89	$370.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $649.77 / $649.77 / $649.77	Professional		$649.77	$649.77	$649.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $166.61 / $251.77	Professional		$148.10	$166.61	$251.77
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $77.75 / $355.62	Professional		$77.75	$77.75	$355.62