Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $630.96 / $1,148.15	Facility		$263.03	$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 $154.88 / $186.21 / $407.38	Professional		$154.88	$186.21	$407.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $380.19 / $489.78	Facility		$100.00	$380.19	$489.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $346.74	Professional		$102.33	$138.04	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $302.00 / $645.65	Facility		$117.49	$302.00	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $407.38	Professional		$89.13	$117.49	$407.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $234.42	Professional		$141.25	$173.78	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $309.03	Professional		$158.49	$194.98	$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
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 / $173.78 / $363.08	Professional		$93.33	$173.78	$363.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $2,089.30	Professional		$141.25	$173.78	$2,089.30
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