Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,818.38 / $4,897.79	Facility		$977.24	$2,818.38	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $1,659.59	Professional		$181.97	$245.47	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $588.84 / $1,258.93	Facility		$141.25	$588.84	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $338.84	Professional		$120.23	$128.82	$338.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $562.34 / $707.95	Facility		$181.97	$562.34	$707.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $831.76	Professional		$194.98	$281.84	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $436.52 / $912.01	Facility		$131.83	$436.52	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $302.00 / $389.05	Professional		$144.54	$302.00	$389.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $251.19 / $398.11	Professional		$100.00	$251.19	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $549.54	Professional		$199.53	$251.19	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $251.19	Professional		$125.89	$251.19	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $281.84 / $794.33	Facility		$162.18	$281.84	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $512.86	Professional		$144.54	$251.19	$512.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $138.04 / $251.19	Facility		$112.20	$138.04	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $457.09	Professional		$89.13	$141.25	$457.09