Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $524.81 / $1,318.26	Facility		$208.93	$524.81	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $263.03 / $977.24	Professional		$104.71	$263.03	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $758.58 / $1,621.81	Facility		$151.36	$758.58	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $380.19	Professional		$104.71	$131.83	$380.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $426.58 / $1,258.93	Facility		$61.66	$426.58	$1,258.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $446.68	Professional		$74.13	$104.71	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $575.44 / $1,148.15	Facility		$213.80	$575.44	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $501.19	Professional		$85.11	$194.98	$501.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $323.59 / $354.81	Professional		$10.23	$323.59	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $724.44	Professional		$263.03	$323.59	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $389.05	Professional		$194.98	$389.05	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $309.03 / $851.14	Facility		$162.18	$309.03	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $181.97 / $630.96	Professional		$85.11	$181.97	$630.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $323.59	Professional		$10.23	$14.45	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $177.83 / $323.59	Facility		$83.18	$177.83	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $549.54	Professional		$66.07	$138.04	$549.54