Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.94 / $450.00 / $2,458.27	Facility		$180.94	$450.00	$2,458.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.55 / $450.00 / $1,090.20	Professional		$192.55	$450.00	$1,090.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.08 / $474.67 / $1,149.04	Facility		$217.08	$474.67	$1,149.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $359.57 / $851.44	Professional		$106.20	$359.57	$851.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $168.51 / $657.26	Facility		$92.60	$168.51	$657.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $133.29 / $190.41 / $798.91	Professional		$133.29	$190.41	$798.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.20 / $402.99 / $788.64	Facility		$171.20	$402.99	$788.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $175.77 / $771.33	Professional		$127.82	$175.77	$771.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $191.15 / $233.07 / $314.64	Professional		$191.15	$233.07	$314.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.76 / $268.02 / $512.75	Professional		$209.76	$268.02	$512.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $405.54 / $1,107.08 / $1,107.08	Facility		$405.54	$1,107.08	$1,107.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.34 / $1,165.34 / $1,748.03	Professional		$1,165.34	$1,165.34	$1,748.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.69 / $279.69 / $279.69	Professional		$279.69	$279.69	$279.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.35 / $306.02 / $697.18	Facility		$205.35	$306.02	$697.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $268.02 / $638.40	Professional		$154.88	$268.02	$638.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $818.07 / $818.07 / $818.07	Professional		$818.07	$818.07	$818.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $186.46 / $214.09 / $324.95	Professional		$186.46	$214.09	$324.95
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $123.22 / $575.34	Professional		$97.89	$123.22	$575.34