Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.50 / $526.52 / $1,697.60	Facility		$116.50	$526.52	$1,697.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $119.99 / $521.58	Professional		$88.21	$119.99	$521.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.14 / $625.39 / $1,596.09	Facility		$282.14	$625.39	$1,596.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $129.50 / $286.33	Professional		$114.95	$129.50	$286.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $1,305.34	Facility		$58.90	$100.00	$1,305.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $90.42 / $225.92	Professional		$63.29	$90.42	$225.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.44 / $465.07 / $1,059.57	Facility		$210.44	$465.07	$1,059.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $286.88 / $493.03	Professional		$93.95	$286.88	$493.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $323.75 / $356.13	Professional		$10.27	$323.75	$356.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.00 / $323.75 / $705.78	Professional		$259.00	$323.75	$705.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $525.16 / $1,537.81 / $1,537.81	Facility		$525.16	$1,537.81	$1,537.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $194.25 / $194.25	Professional		$194.25	$194.25	$194.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $300.93 / $773.21	Facility		$161.88	$300.93	$773.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.33 / $194.25 / $388.50	Professional		$113.33	$194.25	$388.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,136.35 / $1,136.35 / $1,136.35	Professional		$1,136.35	$1,136.35	$1,136.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $17.46 / $291.38	Professional		$10.48	$17.46	$291.38
United Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $323.75 / $323.75	Facility		$135.97	$323.75	$323.75
United Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $135.97 / $388.50	Professional		$73.25	$135.97	$388.50