Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.27 / $843.10 / $1,946.44	Facility		$202.27	$843.10	$1,946.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.07 / $202.27 / $1,113.48	Professional		$135.07	$202.27	$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 $98.11 / $221.00 / $517.69	Professional		$98.11	$221.00	$517.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $319.39 / $2,170.38	Facility		$59.40	$319.39	$2,170.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $153.34 / $469.22	Professional		$107.34	$153.34	$469.22
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 $113.11 / $186.54 / $853.16	Professional		$113.11	$186.54	$853.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $177.02 / $233.78	Professional		$153.93	$177.02	$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 / $826.74 / $826.74	Facility		$301.32	$826.74	$826.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.46 / $1,423.97 / $1,423.97	Professional		$1,338.46	$1,423.97	$1,423.97
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 $162.11 / $289.25 / $539.50	Facility		$162.11	$289.25	$539.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $216.46 / $578.86	Professional		$127.42	$216.46	$578.86
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 / $147.16 / $474.57	Professional		$103.90	$147.16	$474.57