Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.91 / $478.63 / $1,507.29	Facility		$105.91	$478.63	$1,507.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.70 / $109.08 / $847.08	Professional		$95.70	$109.08	$847.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.93 / $629.35 / $1,606.19	Facility		$283.93	$629.35	$1,606.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.50 / $130.32 / $262.29	Professional		$104.50	$130.32	$262.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $1,186.68	Facility		$58.90	$100.00	$1,186.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $82.19 / $205.38	Professional		$57.53	$82.19	$205.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.77 / $468.01 / $1,066.26	Facility		$211.77	$468.01	$1,066.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $260.58 / $496.11	Professional		$85.39	$260.58	$496.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $325.80 / $358.38	Professional		$10.27	$325.80	$358.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.64 / $325.80 / $635.30	Professional		$260.64	$325.80	$635.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $528.49 / $1,547.55 / $1,547.55	Facility		$528.49	$1,547.55	$1,547.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.48 / $195.48 / $195.48	Professional		$195.48	$195.48	$195.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.10 / $299.35 / $777.84	Facility		$155.10	$299.35	$777.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $191.62 / $390.96	Professional		$102.94	$191.62	$390.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,143.55 / $1,143.55 / $1,143.55	Professional		$1,143.55	$1,143.55	$1,143.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $17.46 / $293.22	Professional		$10.48	$17.46	$293.22
United Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $136.84 / $452.86	Professional		$66.59	$136.84	$452.86