Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.65 / $337.73 / $2,167.17	Facility		$41.65	$337.73	$2,167.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $41.65 / $1,585.12	Professional		$41.65	$41.65	$1,585.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.61 / $493.36 / $1,215.33	Facility		$229.61	$493.36	$1,215.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.44 / $70.03 / $320.47	Professional		$53.44	$70.03	$320.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $178.23 / $695.19	Facility		$92.60	$178.23	$695.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $160.40 / $216.62	Professional		$100.00	$160.40	$216.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $426.24 / $825.24	Facility		$164.79	$426.24	$825.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.87 / $164.43 / $716.91	Professional		$131.87	$164.43	$716.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $197.21 / $246.52 / $332.80	Professional		$197.21	$246.52	$332.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.87 / $283.50 / $537.41	Professional		$221.87	$283.50	$537.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $428.94 / $1,170.97 / $1,170.97	Facility		$428.94	$1,170.97	$1,170.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.59 / $1,232.59 / $1,848.90	Professional		$1,232.59	$1,232.59	$1,848.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.83 / $295.83 / $295.83	Professional		$295.83	$295.83	$295.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.24 / $295.82 / $708.42	Facility		$160.24	$295.82	$708.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.01 / $283.50 / $555.15	Professional		$143.01	$283.50	$555.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $865.28 / $865.28 / $865.28	Professional		$865.28	$865.28	$865.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $197.22 / $221.87 / $335.26	Professional		$197.22	$221.87	$335.26
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $104.37 / $489.34	Professional		$103.54	$104.37	$489.34