Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.96 / $1,786.95 / $4,809.14	Facility		$693.96	$1,786.95	$4,809.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.41 / $693.96 / $1,612.52	Professional		$182.41	$693.96	$1,612.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $501.89 / $1,236.34	Facility		$244.00	$501.89	$1,236.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $121.34 / $236.61	Professional		$121.34	$121.34	$236.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $181.31 / $707.20	Facility		$92.60	$181.31	$707.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $152.29 / $217.56 / $505.33	Professional		$152.29	$217.56	$505.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $353.08 / $847.83	Facility		$163.01	$353.08	$847.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.43 / $305.62 / $382.03	Professional		$160.43	$305.62	$382.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $250.78 / $401.25	Professional		$99.00	$250.78	$401.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $250.78 / $457.00	Professional		$200.62	$250.78	$457.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $405.77 / $1,191.21 / $1,191.21	Facility		$405.77	$1,191.21	$1,191.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.39 / $125.39 / $125.39	Professional		$125.39	$125.39	$125.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $250.78 / $719.36	Facility		$163.01	$250.78	$719.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $250.78 / $317.64	Professional		$166.71	$250.78	$317.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $880.23 / $880.23 / $880.23	Professional		$880.23	$880.23	$880.23
United Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $114.10 / $348.58	Professional		$89.18	$114.10	$348.58