Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.04 / $560.70 / $1,317.83	Facility		$172.04	$560.70	$1,317.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.56 / $172.04 / $1,301.43	Professional		$131.56	$172.04	$1,301.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $412.21 / $997.83	Facility		$203.00	$412.21	$997.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $228.05 / $540.02	Professional		$80.95	$228.05	$540.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $267.17 / $1,815.53	Facility		$59.40	$267.17	$1,815.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $131.56 / $330.73	Professional		$92.09	$131.56	$330.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.63 / $347.32 / $677.53	Facility		$139.63	$347.32	$677.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $174.22 / $823.57	Professional		$107.77	$174.22	$823.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $202.40 / $273.24	Professional		$161.91	$202.40	$273.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.16 / $232.76 / $445.28	Professional		$182.16	$232.76	$445.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $352.18 / $961.40 / $961.40	Facility		$352.18	$961.40	$961.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.00 / $1,012.00 / $1,518.00	Professional		$1,012.00	$1,012.00	$1,518.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.91 / $242.88 / $580.57	Facility		$161.91	$242.88	$580.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $232.76 / $547.66	Professional		$108.81	$232.76	$547.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $710.42 / $710.42 / $710.42	Professional		$710.42	$710.42	$710.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $182.16 / $275.26	Professional		$161.91	$182.16	$275.26
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $91.43 / $520.78	Professional		$85.01	$91.43	$520.78