Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.83 / $626.89 / $3,119.72	Facility		$266.83	$626.89	$3,119.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.63 / $302.41 / $1,676.88	Professional		$208.63	$302.41	$1,676.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.90 / $521.91 / $1,285.69	Facility		$242.90	$521.91	$1,285.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.78 / $388.11 / $919.03	Professional		$128.78	$388.11	$919.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $188.55 / $735.43	Facility		$92.60	$188.55	$735.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $230.91 / $371.77	Professional		$161.63	$230.91	$371.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.55 / $450.90 / $907.90	Facility		$191.55	$450.90	$907.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.90 / $213.22 / $935.64	Professional		$144.90	$213.22	$935.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $119.78 / $260.79 / $352.07	Professional		$119.78	$260.79	$352.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.71 / $299.91 / $591.00	Professional		$234.71	$299.91	$591.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $453.77 / $1,238.75 / $1,238.75	Facility		$453.77	$1,238.75	$1,238.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $1,955.93	Professional		$1,303.95	$1,303.95	$1,955.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $260.79 / $260.79 / $260.79	Professional		$260.79	$260.79	$260.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.40 / $339.03 / $789.92	Facility		$242.40	$339.03	$789.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.20 / $306.86 / $715.24	Professional		$173.20	$306.86	$715.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $915.37 / $915.37 / $915.37	Professional		$915.37	$915.37	$915.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $122.18 / $203.63 / $260.79	Professional		$122.18	$203.63	$260.79
United Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $149.43 / $522.15	Professional		$109.53	$149.43	$522.15