Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $194.98 / $1,412.54	Facility		$165.96	$194.98	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $467.74	Professional		$125.89	$158.49	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $58.88 / $58.88	Facility		$51.29	$58.88	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $416.87	Professional		$128.82	$190.55	$416.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $144.54 / $245.47	Facility		$81.28	$144.54	$245.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $346.74	Professional		$131.83	$169.82	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $93.33 / $229.09	Facility		$66.07	$93.33	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $389.05	Professional		$141.25	$204.17	$389.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $245.47	Professional		$177.83	$199.53	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $302.00	Professional		$138.04	$162.18	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,096.48	Professional		$933.25	$1,096.48	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $125.89 / $186.21	Professional		$58.88	$125.89	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $288.40	Facility		$138.04	$186.21	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $389.05	Professional		$151.36	$218.78	$389.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $97.72 / $147.91	Facility		$93.33	$97.72	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $346.74	Professional		$114.82	$151.36	$346.74