Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.51 / $563.32 / $1,301.67	Facility		$137.51	$563.32	$1,301.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.27 / $136.16 / $615.66	Professional		$87.27	$136.16	$615.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.36 / $273.81 / $614.00	Facility		$130.36	$273.81	$614.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $194.76 / $461.18	Professional		$60.06	$194.76	$461.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $218.70 / $1,486.15	Facility		$59.40	$218.70	$1,486.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $107.69 / $270.72	Professional		$75.38	$107.69	$270.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $210.30 / $423.45	Facility		$89.34	$210.30	$423.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $134.61 / $506.64	Professional		$79.37	$134.61	$506.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $108.11 / $124.33 / $164.20	Professional		$108.11	$124.33	$164.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $139.87 / $275.64	Professional		$109.47	$139.87	$275.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.64 / $918.65 / $918.65	Facility		$211.64	$918.65	$918.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $608.15 / $608.15 / $912.23	Professional		$608.15	$608.15	$912.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $85.14 / $85.14	Professional		$85.14	$85.14	$85.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.06 / $158.12 / $368.42	Facility		$113.06	$158.12	$368.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $144.41 / $373.05	Professional		$85.00	$144.41	$373.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Professional		$426.92	$426.92	$426.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $121.08 / $183.79	Professional		$97.30	$121.08	$183.79
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $69.59 / $268.56	Professional		$51.08	$69.59	$268.56