Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.36 / $766.54 / $2,152.54	Facility		$249.36	$766.54	$2,152.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $249.36 / $528.90	Professional		$174.45	$249.36	$528.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.10 / $444.10 / $1,075.04	Facility		$203.10	$444.10	$1,075.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $254.68 / $623.65	Professional		$105.40	$254.68	$623.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $2,660.87	Facility		$58.70	$100.00	$2,660.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $132.29 / $188.98 / $733.57	Professional		$132.29	$188.98	$733.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.16 / $377.03 / $759.16	Facility		$160.16	$377.03	$759.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $236.07 / $943.25	Professional		$139.41	$236.07	$943.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $218.06 / $294.38	Professional		$154.59	$218.06	$294.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $250.77 / $479.73	Professional		$196.25	$250.77	$479.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $1,035.79 / $1,035.79	Facility		$379.42	$1,035.79	$1,035.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.64 / $1,126.45 / $1,635.45	Professional		$1,093.64	$1,126.45	$1,635.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $261.68 / $261.68 / $261.68	Professional		$261.68	$261.68	$261.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.69 / $283.48 / $643.91	Facility		$202.69	$283.48	$643.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $261.67 / $654.25	Professional		$157.99	$261.67	$654.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $765.39 / $765.39 / $765.39	Professional		$765.39	$765.39	$765.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $157.68 / $196.25 / $262.80	Professional		$157.68	$196.25	$262.80
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $123.22 / $561.07	Professional		$91.59	$123.22	$561.07