Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.55 / $451.39 / $1,286.93	Facility		$131.55	$451.39	$1,286.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $131.55 / $676.24	Professional		$104.12	$131.55	$676.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.99 / $312.00 / $724.50	Facility		$154.99	$312.00	$724.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $159.06 / $372.59	Professional		$70.62	$159.06	$372.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $229.86 / $1,562.04	Facility		$59.40	$229.86	$1,562.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $110.36 / $339.53	Professional		$77.25	$110.36	$339.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $248.16 / $484.10	Facility		$106.22	$248.16	$484.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $140.33 / $696.78	Professional		$85.09	$140.33	$696.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $144.61 / $195.22	Professional		$115.68	$144.61	$195.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $166.30 / $327.72	Professional		$130.15	$166.30	$327.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $251.62 / $766.73 / $766.73	Facility		$251.62	$766.73	$766.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,085.40 / $1,085.40 / $1,085.40	Professional		$1,085.40	$1,085.40	$1,085.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.53 / $173.53 / $173.53	Professional		$173.53	$173.53	$173.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $204.92 / $414.82	Facility		$135.36	$204.92	$414.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $170.17 / $396.51	Professional		$92.16	$170.17	$396.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $507.58 / $507.58 / $507.58	Professional		$507.58	$507.58	$507.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $115.69 / $147.50 / $245.84	Professional		$115.69	$147.50	$245.84
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $107.12 / $396.30	Professional		$86.77	$107.12	$396.30