Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $99.66 / $1,818.92	Facility		$99.66	$99.66	$1,818.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $112.28 / $1,051.18	Professional		$99.66	$112.28	$1,051.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $566.13 / $1,394.60	Facility		$260.00	$566.13	$1,394.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $362.39 / $858.11	Professional		$113.15	$362.39	$858.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $204.52 / $797.72	Facility		$92.60	$204.52	$797.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $400.00 / $1,000.20	Professional		$280.00	$400.00	$1,000.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.77 / $489.09 / $946.93	Facility		$207.77	$489.09	$946.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $243.36 / $765.96	Professional		$150.69	$243.36	$765.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $311.17 / $381.89	Professional		$282.88	$311.17	$381.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $325.31 / $641.05	Professional		$254.59	$325.31	$641.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $492.21 / $6,610.71 / $6,610.71	Facility		$492.21	$6,610.71	$6,610.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.40 / $1,414.40 / $2,121.60	Professional		$1,414.40	$1,414.40	$2,121.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.87 / $339.46 / $812.89	Facility		$183.87	$339.46	$812.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.46 / $321.30 / $565.76	Professional		$187.46	$321.30	$565.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $992.90 / $992.90 / $992.90	Professional		$992.90	$992.90	$992.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $226.30 / $288.54 / $480.90	Professional		$226.30	$288.54	$480.90
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $123.61 / $681.15	Professional		$118.81	$123.61	$681.15