Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $684.90 / $2,602.09	Facility		$150.00	$684.90	$2,602.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.96 / $233.44 / $1,396.77	Professional		$205.96	$233.44	$1,396.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.79 / $515.23 / $1,269.23	Facility		$239.79	$515.23	$1,269.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $227.13 / $752.46	Professional		$127.14	$227.13	$752.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $474.79 / $3,226.42	Facility		$59.40	$474.79	$3,226.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $159.57 / $227.95 / $697.54	Professional		$159.57	$227.95	$697.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.09 / $441.78 / $896.27	Facility		$189.09	$441.78	$896.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $277.47 / $1,268.88	Professional		$168.28	$277.47	$1,268.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $228.84 / $263.17 / $347.56	Professional		$228.84	$263.17	$347.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.71 / $303.79 / $583.42	Professional		$231.71	$303.79	$583.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $447.96 / $1,228.92 / $1,228.92	Facility		$447.96	$1,228.92	$1,228.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,820.56 / $1,870.44 / $1,930.88	Professional		$1,820.56	$1,870.44	$1,930.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $308.94 / $308.94 / $308.94	Professional		$308.94	$308.94	$308.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.97 / $356.50 / $815.51	Facility		$240.97	$356.50	$815.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.53 / $311.51 / $860.49	Professional		$189.53	$311.51	$860.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $903.64 / $903.64 / $903.64	Professional		$903.64	$903.64	$903.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $205.96 / $256.30 / $389.03	Professional		$205.96	$256.30	$389.03
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $153.15 / $516.22	Professional		$108.13	$153.15	$516.22