Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.89 / $785.17 / $2,637.92	Facility		$263.89	$785.17	$2,637.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.97 / $785.17 / $1,333.97	Professional		$165.97	$785.17	$1,333.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $422.51 / $1,022.78	Facility		$203.00	$422.51	$1,022.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $818.26 / $1,648.18	Professional		$102.45	$818.26	$1,648.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $149.99 / $585.04	Facility		$92.60	$149.99	$585.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $183.69 / $327.78	Professional		$128.58	$183.69	$327.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.38 / $358.70 / $722.26	Facility		$152.38	$358.70	$722.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $169.57 / $744.12	Professional		$115.33	$169.57	$744.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $119.78 / $207.46 / $280.07	Professional		$119.78	$207.46	$280.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.71 / $238.58 / $470.15	Professional		$186.71	$238.58	$470.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $360.98 / $985.44 / $985.44	Facility		$360.98	$985.44	$985.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.30 / $1,037.30 / $1,555.95	Professional		$1,037.30	$1,037.30	$1,555.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $207.46 / $207.46	Professional		$207.46	$207.46	$207.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.84 / $272.39 / $824.43	Facility		$192.84	$272.39	$824.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $246.76 / $568.21	Professional		$137.96	$246.76	$568.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $728.18 / $728.18 / $728.18	Professional		$728.18	$728.18	$728.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $122.18 / $165.97 / $207.46	Professional		$122.18	$165.97	$207.46
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $118.87 / $533.79	Professional		$87.13	$118.87	$533.79