Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.00 / $261.42 / $2,640.75	Facility		$179.00	$261.42	$2,640.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.59 / $179.00 / $1,419.36	Professional		$176.59	$179.00	$1,419.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.60 / $449.56 / $1,088.25	Facility		$205.60	$449.56	$1,088.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $199.50 / $488.53	Professional		$109.01	$199.50	$488.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $159.60 / $622.49	Facility		$92.60	$159.60	$622.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $195.46 / $584.22	Professional		$136.82	$195.46	$584.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.13 / $381.66 / $768.48	Facility		$162.13	$381.66	$768.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $180.54 / $792.26	Professional		$122.70	$180.54	$792.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $196.21 / $225.64 / $298.00	Professional		$196.21	$225.64	$298.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.67 / $253.85 / $481.21	Professional		$198.67	$253.85	$481.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $384.09 / $1,048.52 / $1,048.52	Facility		$384.09	$1,048.52	$1,048.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.70 / $1,103.70 / $1,655.55	Professional		$1,103.70	$1,103.70	$1,655.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $264.89 / $264.89	Professional		$264.89	$264.89	$264.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.39 / $264.89 / $668.62	Facility		$189.39	$264.89	$668.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.77 / $259.43 / $605.20	Professional		$146.77	$259.43	$605.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $774.79 / $774.79 / $774.79	Professional		$774.79	$774.79	$774.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $176.59 / $219.76 / $333.56	Professional		$176.59	$219.76	$333.56
United Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $126.48 / $487.39	Professional		$92.71	$126.48	$487.39