Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.05 / $223.16 / $1,339.22	Facility		$189.05	$223.16	$1,339.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.99 / $189.05 / $1,055.01	Professional		$167.99	$189.05	$1,055.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.58 / $336.12 / $2,914.00	Facility		$275.58	$336.12	$2,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.10 / $330.58 / $654.62	Professional		$205.10	$330.58	$654.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $156.28 / $233.81 / $557.67	Professional		$156.28	$233.81	$557.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $184.82	Professional		$149.69	$149.69	$184.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $230.25 / $310.83	Professional		$170.60	$230.25	$310.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.92 / $230.74 / $437.84	Professional		$172.92	$230.74	$437.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $322.35 / $921.22 / $921.22	Facility		$322.35	$921.22	$921.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,158.18 / $1,158.18 / $1,425.23	Professional		$1,158.18	$1,158.18	$1,425.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.19 / $232.06 / $368.40	Facility		$175.19	$232.06	$368.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $387.15	Professional		$149.69	$149.69	$387.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $654.61 / $654.61 / $654.61	Professional		$654.61	$654.61	$654.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $186.26 / $238.84 / $290.02	Professional		$186.26	$238.84	$290.02
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $245.86 / $596.41	Professional		$134.19	$245.86	$596.41