Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.58 / $430.21 / $1,453.56	Facility		$135.58	$430.21	$1,453.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $145.78 / $966.37	Professional		$120.23	$145.78	$966.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.08 / $312.00 / $752.95	Facility		$161.08	$312.00	$752.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $150.29 / $432.54	Professional		$85.14	$150.29	$432.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $277.16 / $1,883.43	Facility		$59.40	$277.16	$1,883.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.79 / $91.99 / $362.87	Professional		$82.79	$91.99	$362.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.39 / $257.89 / $523.23	Facility		$110.39	$257.89	$523.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $161.97 / $741.29	Professional		$98.25	$161.97	$741.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $133.59 / $153.63 / $202.89	Professional		$133.59	$153.63	$202.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.26 / $172.83 / $330.64	Professional		$135.26	$172.83	$330.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $276.14 / $717.06 / $724.00	Facility		$276.14	$717.06	$724.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,249.00 / $1,249.00 / $1,249.00	Professional		$1,249.00	$1,249.00	$1,249.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.35 / $180.35 / $180.35	Professional		$180.35	$180.35	$180.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.69 / $244.23 / $475.84	Facility		$139.69	$244.23	$475.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $181.85 / $460.88	Professional		$110.64	$181.85	$460.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $527.51 / $527.51 / $527.51	Professional		$527.51	$527.51	$527.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $153.30 / $255.49	Professional		$120.23	$153.30	$255.49
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $129.15 / $411.87	Professional		$90.17	$129.15	$411.87