Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $580.95 / $1,329.09	Facility		$153.97	$580.95	$1,329.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $135.86 / $827.73	Professional		$102.98	$135.86	$827.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.97 / $289.80 / $644.94	Facility		$137.97	$289.80	$644.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $111.58 / $347.02	Professional		$63.57	$111.58	$347.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $239.10 / $1,624.83	Facility		$59.40	$239.10	$1,624.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $113.98 / $348.77	Professional		$79.79	$113.98	$348.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.55 / $220.89 / $448.14	Facility		$94.55	$220.89	$448.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $138.93 / $634.44	Professional		$84.03	$138.93	$634.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.42 / $131.58 / $173.79	Professional		$114.42	$131.58	$173.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $148.04 / $283.20	Professional		$115.86	$148.04	$283.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $231.55 / $611.47 / $611.47	Facility		$231.55	$611.47	$611.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $716.39 / $737.88 / $965.48	Professional		$716.39	$737.88	$965.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $154.47 / $154.47	Professional		$154.47	$154.47	$154.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.86 / $167.35 / $380.11	Facility		$115.86	$167.35	$380.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $155.84 / $394.81	Professional		$95.26	$155.84	$394.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $451.84 / $451.84 / $451.84	Professional		$451.84	$451.84	$451.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $128.15 / $194.51	Professional		$102.98	$128.15	$194.51
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $76.08 / $259.02	Professional		$54.07	$76.08	$259.02