Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.51 / $764.71 / $1,526.50	Facility		$227.51	$764.71	$1,526.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $118.42 / $873.58	Professional		$72.01	$118.42	$873.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $295.20 / $680.66	Facility		$148.86	$295.20	$680.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $67.09 / $182.53	Professional		$53.52	$67.09	$182.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $185.84 / $883.48	Facility		$59.90	$185.84	$883.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $84.21 / $120.30 / $222.49	Professional		$84.21	$120.30	$222.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.78 / $178.39 / $454.80	Facility		$85.78	$178.39	$454.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.70 / $164.61 / $231.17	Professional		$88.70	$164.61	$231.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $135.86 / $217.38	Professional		$99.00	$135.86	$217.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $135.86 / $264.93	Professional		$108.69	$135.86	$264.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.83 / $645.34 / $645.34	Facility		$323.83	$645.34	$645.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $81.51 / $81.51	Professional		$81.51	$81.51	$81.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.95 / $157.19 / $331.00	Facility		$98.95	$157.19	$331.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $135.86 / $231.17	Professional		$90.20	$135.86	$231.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $476.86 / $476.86 / $476.86	Professional		$476.86	$476.86	$476.86
United Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $61.82 / $192.65	Professional		$40.86	$61.82	$192.65