Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.41 / $924.63 / $2,766.41	Facility		$265.41	$924.63	$2,766.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.12 / $265.41 / $1,655.40	Professional		$186.12	$265.41	$1,655.40
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 / $307.20 / $752.27	Professional		$127.14	$307.20	$752.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $3,209.69	Facility		$58.70	$100.00	$3,209.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $159.57 / $227.95 / $884.88	Professional		$159.57	$227.95	$884.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.09 / $445.12 / $896.27	Facility		$189.09	$445.12	$896.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $284.62 / $1,138.03	Professional		$168.28	$284.62	$1,138.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $257.45 / $347.56	Professional		$23.38	$257.45	$347.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.71 / $296.07 / $566.39	Professional		$231.71	$296.07	$566.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $447.96 / $1,222.89 / $1,222.89	Facility		$447.96	$1,222.89	$1,222.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.21 / $1,358.79 / $1,930.88	Professional		$1,319.21	$1,358.79	$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 $233.71 / $334.69 / $760.23	Facility		$233.71	$334.69	$760.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.46 / $308.94 / $789.62	Professional		$190.46	$308.94	$789.62
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 $23.85 / $39.75 / $257.45	Professional		$23.85	$39.75	$257.45
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $148.63 / $515.46	Professional		$108.13	$148.63	$515.46