Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.29 / $387.29 / $1,671.95	Facility		$387.29	$387.29	$1,671.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $387.29 / $1,301.43	Professional		$161.91	$387.29	$1,301.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $412.21 / $997.83	Facility		$203.00	$412.21	$997.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $404.13 / $856.15	Professional		$80.95	$404.13	$856.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $146.34 / $570.77	Facility		$92.60	$146.34	$570.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $123.75 / $939.45	Professional		$86.63	$123.75	$939.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $349.95 / $677.53	Facility		$131.56	$349.95	$677.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.39 / $134.47 / $588.17	Professional		$103.39	$134.47	$588.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $202.40 / $273.24	Professional		$152.16	$202.40	$273.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.16 / $232.76 / $441.23	Professional		$182.16	$232.76	$441.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $352.18 / $961.40 / $961.40	Facility		$352.18	$961.40	$961.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.00 / $1,012.00 / $1,518.00	Professional		$1,012.00	$1,012.00	$1,518.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.89 / $242.89 / $242.89	Professional		$242.89	$242.89	$242.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.91 / $265.75 / $597.08	Facility		$161.91	$265.75	$597.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.17 / $222.64 / $428.65	Professional		$113.17	$222.64	$428.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $710.42 / $710.42 / $710.42	Professional		$710.42	$710.42	$710.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $182.16 / $258.67	Professional		$155.19	$182.16	$258.67
United Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $85.01 / $388.81	Professional		$80.09	$85.01	$388.81