Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $467.74 / $758.58	Facility		$141.25	$467.74	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $104.71	Professional		$61.66	$79.43	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $229.09 / $457.09	Facility		$120.23	$229.09	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $186.21	Professional		$45.71	$67.61	$186.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $257.04 / $1,096.48	Facility		$58.88	$257.04	$1,096.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $223.87	Professional		$66.07	$89.13	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $154.88 / $323.59	Facility		$61.66	$154.88	$323.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $123.03	Professional		$74.13	$100.00	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $162.18	Professional		$83.18	$100.00	$162.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $691.83	Professional		$457.09	$691.83	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $109.65 / $269.15	Facility		$75.86	$109.65	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $131.83	Professional		$91.20	$100.00	$131.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $1,096.48	Professional		$74.13	$91.20	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $91.20 / $91.20	Facility		$38.90	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $177.83	Professional		$38.90	$47.86	$177.83