Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.41 / $109.13 / $1,305.50	Facility		$69.41	$109.13	$1,305.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $69.41 / $701.71	Professional		$69.41	$69.41	$701.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.97 / $247.80 / $556.40	Facility		$116.97	$247.80	$556.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $78.98 / $193.41	Professional		$53.89	$78.98	$193.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $78.90 / $134.88 / $307.75	Facility		$78.90	$134.88	$307.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $96.63 / $288.81	Professional		$67.64	$96.63	$288.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.15 / $188.67 / $379.90	Facility		$80.15	$188.67	$379.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $89.20 / $391.42	Professional		$60.63	$89.20	$391.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $111.56 / $147.33	Professional		$97.01	$111.56	$147.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $125.50 / $240.09	Professional		$98.22	$125.50	$240.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $189.89 / $518.37 / $518.37	Facility		$189.89	$518.37	$518.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $545.65 / $545.65 / $818.48	Professional		$545.65	$545.65	$818.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Professional		$130.94	$130.94	$130.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.30 / $130.96 / $330.53	Facility		$87.30	$130.96	$330.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $128.32 / $298.81	Professional		$72.56	$128.32	$298.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $383.04 / $383.04 / $383.04	Professional		$383.04	$383.04	$383.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $108.65 / $164.92	Professional		$87.30	$108.65	$164.92
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $62.53 / $219.02	Professional		$45.83	$62.53	$219.02