Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $682.17 / $1,575.00	Facility		$163.66	$682.17	$1,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $164.26 / $1,242.59	Professional		$128.16	$164.26	$1,242.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.14 / $393.57 / $952.72	Facility		$198.14	$393.57	$952.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $231.80 / $548.88	Professional		$77.30	$231.80	$548.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $260.29 / $1,768.79	Facility		$59.40	$260.29	$1,768.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $115.44 / $290.20	Professional		$80.81	$115.44	$290.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $334.12 / $646.89	Facility		$141.94	$334.12	$646.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.83 / $163.50 / $602.94	Professional		$102.83	$163.50	$602.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $193.25 / $260.89	Professional		$154.60	$193.25	$260.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $222.24 / $425.15	Professional		$173.93	$222.24	$425.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $336.26 / $1,189.41 / $1,189.41	Facility		$336.26	$1,189.41	$1,189.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $966.25 / $966.25 / $1,449.38	Professional		$966.25	$966.25	$1,449.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $135.27 / $135.27	Professional		$135.27	$135.27	$135.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.01 / $234.05 / $555.32	Facility		$157.01	$234.05	$555.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.07 / $221.61 / $523.30	Professional		$107.07	$221.61	$523.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $678.30 / $678.30 / $678.30	Professional		$678.30	$678.30	$678.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $173.93 / $262.82	Professional		$154.60	$173.93	$262.82
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $84.44 / $465.33	Professional		$81.17	$84.44	$465.33