Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.73 / $192.85 / $1,767.16	Facility		$88.73	$192.85	$1,767.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $193.10 / $921.60	Professional		$175.00	$193.10	$921.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.98 / $550.02 / $1,354.91	Facility		$255.98	$550.02	$1,354.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $271.01 / $663.62	Professional		$109.93	$271.01	$663.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $198.70 / $775.02	Facility		$92.60	$198.70	$775.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $257.60 / $368.00 / $920.18	Professional		$257.60	$368.00	$920.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.67 / $475.18 / $920.00	Facility		$201.67	$475.18	$920.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $236.54 / $743.55	Professional		$146.41	$236.54	$743.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $302.31 / $371.02	Professional		$274.83	$302.31	$371.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $316.05 / $549.00	Professional		$247.35	$316.05	$549.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $1,305.44 / $1,305.44	Facility		$478.20	$1,305.44	$1,305.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.15 / $1,374.15 / $2,061.23	Professional		$1,374.15	$1,374.15	$2,061.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.75 / $329.80 / $789.77	Facility		$211.75	$329.80	$789.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $312.12 / $549.66	Professional		$181.97	$312.12	$549.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $964.65 / $964.65 / $964.65	Professional		$964.65	$964.65	$964.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $219.86 / $280.33 / $467.21	Professional		$219.86	$280.33	$467.21
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $120.09 / $551.58	Professional		$115.43	$120.09	$551.58