Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $501.96 / $1,297.67	Facility		$248.50	$501.96	$1,297.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $250.98 / $534.16	Professional		$248.50	$250.98	$534.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.63 / $396.93 / $889.78	Facility		$263.63	$396.93	$889.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $257.87 / $562.63	Professional		$248.50	$257.87	$562.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $100.00 / $346.10	Facility		$77.70	$100.00	$346.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $253.19 / $253.19 / $599.77	Professional		$253.19	$253.19	$599.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.43 / $234.43 / $248.50	Facility		$234.43	$234.43	$248.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $286.94	Professional		$248.50	$248.50	$286.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $243.32 / $243.63 / $328.48	Professional		$243.32	$243.63	$328.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.65 / $298.20 / $518.00	Professional		$223.65	$298.20	$518.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $324.07 / $1,218.15 / $1,242.50	Facility		$324.07	$1,218.15	$1,242.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.29 / $1,074.29 / $1,074.29	Professional		$1,074.29	$1,074.29	$1,074.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $498.80 / $498.80 / $498.80	Professional		$498.80	$498.80	$498.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $258.44 / $423.01	Facility		$248.50	$258.44	$423.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $304.14	Professional		$248.50	$248.50	$304.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $362.91 / $362.91 / $362.91	Professional		$362.91	$362.91	$362.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.80 / $248.50 / $372.75	Professional		$198.80	$248.50	$372.75
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $447.30	Professional		$248.50	$248.50	$447.30