Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.49 / $558.60 / $1,111.20	Facility		$191.49	$558.60	$1,111.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.12 / $193.35 / $855.00	Professional		$135.12	$193.35	$855.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.58 / $92.65 / $376.00	Facility		$74.58	$92.65	$376.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.59 / $248.09 / $554.98	Professional		$169.59	$248.09	$554.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $335.67 / $611.33	Facility		$97.00	$335.67	$611.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $132.34 / $190.95 / $316.51	Professional		$132.34	$190.95	$316.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.10 / $210.00 / $275.00	Facility		$83.10	$210.00	$275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.18 / $250.41 / $602.23	Professional		$191.18	$250.41	$602.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $130.58 / $272.89 / $341.13	Professional		$130.58	$272.89	$341.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $245.61 / $423.00	Professional		$180.00	$245.61	$423.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $420.01 / $870.40 / $1,170.26	Facility		$420.01	$870.40	$1,170.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.30 / $1,433.30 / $1,872.45	Professional		$1,433.30	$1,433.30	$1,872.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.00 / $323.70	Professional		$32.34	$60.00	$323.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.10 / $210.00 / $275.00	Facility		$83.10	$210.00	$275.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.10 / $258.02 / $560.86	Professional		$196.10	$258.02	$560.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $640.01 / $640.01 / $640.01	Professional		$640.01	$640.01	$640.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $169.75 / $242.29 / $303.44	Professional		$169.75	$242.29	$303.44
United Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $198.49 / $527.73	Professional		$153.16	$198.49	$527.73