Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.49 / $242.83 / $2,120.40	Facility		$142.49	$242.83	$2,120.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $142.49 / $1,139.72	Professional		$141.80	$142.49	$1,139.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.73 / $360.99 / $876.00	Facility		$181.73	$360.99	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $161.71 / $395.99	Professional		$87.53	$161.71	$395.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $128.15 / $499.85	Facility		$92.60	$128.15	$499.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $156.94 / $469.09	Professional		$109.86	$156.94	$469.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $306.45 / $617.05	Facility		$130.19	$306.45	$617.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $145.01 / $636.32	Professional		$98.52	$145.01	$636.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $157.55 / $181.18 / $239.29	Professional		$157.55	$181.18	$239.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.53 / $203.84 / $389.95	Professional		$159.53	$203.84	$389.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $308.42 / $841.94 / $841.94	Facility		$308.42	$841.94	$841.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $886.25 / $886.25 / $1,329.38	Professional		$886.25	$886.25	$1,329.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $177.25 / $177.25	Professional		$177.25	$177.25	$177.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.04 / $212.70 / $536.88	Facility		$151.04	$212.70	$536.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.79 / $208.42 / $485.68	Professional		$117.79	$208.42	$485.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $622.14 / $622.14 / $622.14	Professional		$622.14	$622.14	$622.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $176.46 / $267.83	Professional		$141.80	$176.46	$267.83
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $101.56 / $354.89	Professional		$74.45	$101.56	$354.89