Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.54 / $366.68 / $3,782.86	Facility		$323.54	$366.68	$3,782.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $358.05 / $1,333.00	Professional		$176.21	$358.05	$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 $83.24 / $102.38 / $310.95	Professional		$83.24	$102.38	$310.95
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 $195.99 / $279.98 / $470.23	Professional		$195.99	$279.98	$470.23
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 / $234.09 / $970.10	Professional		$115.15	$234.09	$970.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $184.28 / $211.92 / $279.87	Professional		$184.28	$211.92	$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 $1,488.30 / $1,488.30 / $1,554.83	Professional		$1,488.30	$1,488.30	$1,554.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $207.31	Professional		$207.31	$207.31	$207.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.69 / $288.16 / $627.94	Facility		$192.69	$288.16	$627.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $248.77 / $649.73	Professional		$137.72	$248.77	$649.73
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 $165.85 / $206.39 / $313.27	Professional		$165.85	$206.39	$313.27
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $181.18 / $568.13	Professional		$87.07	$181.18	$568.13