Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $58.46 / $1,085.06	Facility		$58.46	$58.46	$1,085.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $58.46 / $1,085.06	Professional		$58.46	$58.46	$1,085.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.02 / $345.97 / $845.44	Facility		$173.02	$345.97	$845.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $74.83 / $236.51	Professional		$67.50	$74.83	$236.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $122.01 / $475.88	Facility		$92.60	$122.01	$475.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $63.59 / $180.81	Professional		$44.51	$63.59	$180.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.59 / $291.77 / $564.90	Facility		$108.59	$291.77	$564.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $145.08 / $457.04	Professional		$89.93	$145.08	$457.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $168.75 / $227.81	Professional		$66.06	$168.75	$227.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $194.06 / $371.25	Professional		$151.88	$194.06	$371.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $293.63 / $801.56 / $801.56	Facility		$293.63	$801.56	$801.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $843.75 / $843.75 / $1,265.63	Professional		$843.75	$843.75	$1,265.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.22 / $202.50 / $484.94	Facility		$95.22	$202.50	$484.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $194.06 / $337.50	Professional		$101.25	$194.06	$337.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $592.30 / $592.30 / $592.30	Professional		$592.30	$592.30	$592.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $112.30 / $168.75	Professional		$67.38	$112.30	$168.75
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $70.88 / $335.27	Professional		$70.88	$70.88	$335.27