Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $630.96 / $1,148.15	Facility		$257.04	$630.96	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $1,148.15	Professional		$114.82	$147.91	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $407.38 / $870.96	Facility		$81.28	$407.38	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $467.74	Professional		$173.78	$213.80	$467.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $407.38 / $1,698.24	Facility		$69.18	$407.38	$1,698.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $346.74	Professional		$102.33	$134.90	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $309.03 / $616.60	Facility		$117.49	$309.03	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $489.78	Professional		$93.33	$117.49	$489.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $234.42	Professional		$173.78	$190.55	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $309.03	Professional		$158.49	$190.55	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $1,318.26	Professional		$870.96	$1,318.26	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $208.93 / $512.86	Facility		$138.04	$208.93	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $398.11	Professional		$93.33	$186.21	$398.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $173.78 / $173.78	Facility		$74.13	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $338.84	Professional		$74.13	$74.13	$338.84