Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.12 / $655.85 / $1,552.19	Facility		$157.12	$655.85	$1,552.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $157.12 / $1,113.48	Professional		$126.76	$157.12	$1,113.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.55 / $353.00 / $867.58	Facility		$177.55	$353.00	$867.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $171.86 / $445.02	Professional		$85.52	$171.86	$445.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $274.52 / $1,865.58	Facility		$59.40	$274.52	$1,865.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $114.99 / $403.36	Professional		$92.27	$114.99	$403.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.19 / $297.16 / $602.87	Facility		$127.19	$297.16	$602.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $168.12 / $833.49	Professional		$109.65	$168.12	$833.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.72 / $174.48 / $233.78	Professional		$151.72	$174.48	$233.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.85 / $199.15 / $380.97	Professional		$155.85	$199.15	$380.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $301.32 / $822.56 / $822.56	Facility		$301.32	$822.56	$822.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.10 / $1,224.10 / $1,298.78	Professional		$1,224.10	$1,224.10	$1,298.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $173.17 / $173.17	Professional		$173.17	$173.17	$173.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $227.37 / $494.71	Facility		$160.96	$227.37	$494.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.51 / $209.54 / $474.30	Professional		$110.51	$209.54	$474.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $607.82 / $607.82 / $607.82	Professional		$607.82	$607.82	$607.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $176.63 / $294.39	Professional		$138.54	$176.63	$294.39
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $127.93 / $463.33	Professional		$103.90	$127.93	$463.33