Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $851.14 / $1,412.54	Facility		$275.42	$851.14	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $194.98	Professional		$134.90	$165.96	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $616.60 / $1,023.29	Facility		$323.59	$616.60	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $204.17 / $407.38	Professional		$45.71	$204.17	$407.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $478.63 / $1,995.26	Facility		$69.18	$478.63	$1,995.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $524.81	Professional		$144.54	$194.98	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $331.13 / $691.83	Facility		$144.54	$331.13	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $354.81	Professional		$131.83	$281.84	$354.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $269.15	Professional		$154.88	$245.47	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $436.52	Professional		$199.53	$245.47	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $245.47 / $562.34	Facility		$102.33	$245.47	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $245.47	Professional		$120.23	$194.98	$245.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $263.03	Professional		$154.88	$199.53	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $134.90 / $245.47	Facility		$104.71	$134.90	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $354.81	Professional		$81.28	$109.65	$354.81