Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.73 / $277.95 / $1,886.95	Facility		$246.73	$277.95	$1,886.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.31 / $252.68 / $1,579.08	Professional		$164.31	$252.68	$1,579.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.84 / $570.00 / $3,287.31	Facility		$48.84	$570.00	$3,287.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $332.63 / $669.31	Professional		$120.90	$332.63	$669.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $100.00 / $1,385.42	Facility		$59.40	$100.00	$1,385.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $216.50 / $319.77 / $799.58	Professional		$216.50	$319.77	$799.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.36 / $205.10 / $393.99	Facility		$89.36	$205.10	$393.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.98 / $166.71 / $591.48	Professional		$118.98	$166.71	$591.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.51 / $291.41 / $393.40	Professional		$180.51	$291.41	$393.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.41 / $291.41 / $539.90	Professional		$229.41	$291.41	$539.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $485.57 / $1,046.03 / $1,210.78	Facility		$485.57	$1,046.03	$1,210.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,397.94 / $1,439.88 / $1,911.00	Professional		$1,397.94	$1,439.88	$1,911.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $110.10 / $215.78	Professional		$105.68	$110.10	$215.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $285.89 / $436.60	Facility		$123.36	$285.89	$436.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.94 / $297.26 / $616.54	Professional		$127.94	$297.26	$616.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $861.99 / $861.99 / $861.99	Professional		$861.99	$861.99	$861.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $235.68 / $286.64 / $393.44	Professional		$235.68	$286.64	$393.44
United Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $160.62 / $680.69	Professional		$139.44	$160.62	$680.69