Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.20 / $336.00 / $2,480.10	Facility		$113.20	$336.00	$2,480.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $113.20 / $1,333.00	Professional		$113.20	$113.20	$1,333.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $422.21 / $1,022.04	Facility		$203.00	$422.21	$1,022.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $99.49 / $300.58	Professional		$75.93	$99.49	$300.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $149.88 / $584.61	Facility		$92.60	$149.88	$584.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $183.56 / $295.52	Professional		$128.49	$183.56	$295.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.27 / $358.44 / $721.72	Facility		$152.27	$358.44	$721.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.15 / $169.57 / $744.12	Professional		$115.15	$169.57	$744.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $94.03 / $207.31 / $279.87	Professional		$94.03	$207.31	$279.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $238.41 / $451.94	Professional		$186.58	$238.41	$451.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $360.72 / $984.72 / $984.72	Facility		$360.72	$984.72	$984.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.55 / $1,036.55 / $1,554.83	Professional		$1,036.55	$1,036.55	$1,554.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $248.77 / $248.77	Professional		$248.77	$248.77	$248.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $248.77 / $627.94	Facility		$161.88	$248.77	$627.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $243.89 / $568.21	Professional		$137.72	$243.89	$568.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $727.65 / $727.65 / $727.65	Professional		$727.65	$727.65	$727.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.91 / $159.85 / $207.31	Professional		$95.91	$159.85	$207.31
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $118.79 / $459.69	Professional		$87.07	$118.79	$459.69