Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.09 / $480.25 / $1,138.20	Facility		$145.09	$480.25	$1,138.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.73 / $148.59 / $649.59	Professional		$114.73	$148.59	$649.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.23 / $356.02 / $875.80	Facility		$179.23	$356.02	$875.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $196.96 / $466.40	Professional		$69.92	$196.96	$466.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $230.75 / $1,568.05	Facility		$59.30	$230.75	$1,568.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $113.63 / $285.64	Professional		$79.54	$113.63	$285.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.61 / $299.98 / $585.19	Facility		$120.61	$299.98	$585.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $150.35 / $712.20	Professional		$93.09	$150.35	$712.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $174.81 / $235.99	Professional		$139.84	$174.81	$235.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $201.03 / $384.58	Professional		$157.33	$201.03	$384.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $304.17 / $830.35 / $830.35	Facility		$304.17	$830.35	$830.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $874.05 / $874.05 / $1,311.08	Professional		$874.05	$874.05	$1,311.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $122.36	Professional		$60.00	$60.00	$122.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $209.77 / $501.45	Facility		$139.85	$209.77	$501.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $201.03 / $473.61	Professional		$95.41	$201.03	$473.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $613.58 / $613.58 / $613.58	Professional		$613.58	$613.58	$613.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $157.33 / $237.73	Professional		$139.85	$157.33	$237.73
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $347.31	Professional		$73.42	$73.42	$347.31