Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.41 / $513.04 / $1,205.83	Facility		$157.41	$513.04	$1,205.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $157.41 / $1,190.83	Professional		$120.38	$157.41	$1,190.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.89 / $377.18 / $913.04	Facility		$189.89	$377.18	$913.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $173.54 / $424.94	Professional		$74.08	$173.54	$424.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $279.64 / $509.30	Facility		$98.20	$279.64	$509.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $120.38 / $302.62	Professional		$84.27	$120.38	$302.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $310.58 / $619.96	Facility		$125.89	$310.58	$619.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.07 / $154.21 / $562.45	Professional		$98.07	$154.21	$562.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $185.20 / $250.02	Professional		$148.16	$185.20	$250.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $212.98 / $403.74	Professional		$166.68	$212.98	$403.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $322.25 / $879.70 / $879.70	Facility		$322.25	$879.70	$879.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $926.00 / $926.00 / $1,389.00	Professional		$926.00	$926.00	$1,389.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.16 / $222.24 / $531.24	Facility		$148.16	$222.24	$531.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $210.41 / $500.90	Professional		$99.52	$210.41	$500.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $650.04 / $650.04 / $650.04	Professional		$650.04	$650.04	$650.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $166.68 / $251.87	Professional		$148.16	$166.68	$251.87
United Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $185.20	Facility		$185.20	$185.20	$185.20
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $366.70	Professional		$77.78	$77.78	$366.70