Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.57 / $623.64 / $1,345.80	Facility		$137.57	$623.64	$1,345.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $137.57 / $838.15	Professional		$104.28	$137.57	$838.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.71 / $293.00 / $653.04	Facility		$139.71	$293.00	$653.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $115.00 / $381.34	Professional		$64.37	$115.00	$381.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $240.39 / $1,633.53	Facility		$59.30	$240.39	$1,633.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $115.41 / $353.15	Professional		$80.79	$115.41	$353.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.74 / $223.69 / $453.81	Facility		$95.74	$223.69	$453.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $140.63 / $642.79	Professional		$85.09	$140.63	$642.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $133.24 / $175.97	Professional		$115.86	$133.24	$175.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $149.90 / $286.77	Professional		$117.32	$149.90	$286.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $273.43 / $622.71 / $622.71	Facility		$273.43	$622.71	$622.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $977.63 / $1,071.80 / $1,071.80	Professional		$977.63	$1,071.80	$1,071.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $156.41 / $156.41	Professional		$156.41	$156.41	$156.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.16 / $174.97 / $420.09	Facility		$121.16	$174.97	$420.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $157.72 / $435.61	Professional		$96.07	$157.72	$435.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $457.52 / $457.52 / $457.52	Professional		$457.52	$457.52	$457.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $129.76 / $196.96	Professional		$104.28	$129.76	$196.96
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $78.20 / $270.70	Professional		$54.75	$78.20	$270.70