Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $345.10 / $2,750.00	Facility		$173.03	$345.10	$2,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.75 / $323.70	Professional		$173.03	$174.75	$323.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.57 / $276.38 / $678.00	Facility		$183.57	$276.38	$678.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $179.06 / $338.08	Professional		$172.55	$179.06	$338.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $100.00 / $217.40	Facility		$77.40	$100.00	$217.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $176.29 / $176.29 / $362.88	Professional		$176.29	$176.29	$362.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $173.03	Facility		$163.24	$163.24	$173.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $212.21	Professional		$173.03	$173.03	$212.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $164.92 / $165.71 / $223.71	Professional		$164.92	$165.71	$223.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $207.64 / $377.21	Professional		$155.72	$207.64	$377.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $219.37 / $824.60 / $865.15	Facility		$219.37	$824.60	$865.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,975.90 / $2,975.90 / $2,975.90	Professional		$2,975.90	$2,975.90	$2,975.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $339.70 / $339.70	Professional		$60.00	$339.70	$339.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.47 / $173.03 / $268.62	Facility		$119.47	$173.03	$268.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $210.62	Professional		$173.03	$173.03	$210.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $219.92 / $219.92 / $219.92	Professional		$219.92	$219.92	$219.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $173.03 / $259.55	Professional		$138.41	$173.03	$259.55
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $280.01	Professional		$173.03	$173.03	$280.01