Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $399.16 / $2,558.76	Facility		$133.72	$399.16	$2,558.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $158.79 / $1,873.44	Professional		$133.72	$158.79	$1,873.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $581.26 / $1,436.40	Facility		$260.00	$581.26	$1,436.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $163.09 / $437.04	Professional		$116.54	$163.09	$437.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $210.65 / $821.64	Facility		$92.60	$210.65	$821.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $132.57 / $189.38 / $614.41	Professional		$132.57	$189.38	$614.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.57 / $503.75 / $975.31	Facility		$194.57	$503.75	$975.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.60 / $225.46 / $798.71	Professional		$157.60	$225.46	$798.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $255.30 / $293.60 / $393.34	Professional		$255.30	$293.60	$393.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.22 / $335.06 / $635.16	Professional		$262.22	$335.06	$635.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $506.97 / $1,383.96 / $1,383.96	Facility		$506.97	$1,383.96	$1,383.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.80 / $1,456.80 / $2,185.19	Professional		$1,456.80	$1,456.80	$2,185.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $349.64 / $349.64 / $349.64	Professional		$349.64	$349.64	$349.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.22 / $349.63 / $837.25	Facility		$191.22	$349.63	$837.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $320.50 / $655.87	Professional		$171.17	$320.50	$655.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,022.67 / $1,022.67 / $1,022.67	Professional		$1,022.67	$1,022.67	$1,022.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $233.09 / $285.94 / $434.01	Professional		$233.09	$285.94	$434.01
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $131.31 / $902.14	Professional		$122.37	$131.31	$902.14