Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $676.08 / $1,148.15	Facility		$208.93	$676.08	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $169.82	Professional		$100.00	$128.82	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $489.78 / $831.76	Facility		$257.04	$489.78	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $190.55 / $380.19	Professional		$85.11	$190.55	$380.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $389.05 / $1,584.89	Facility		$69.18	$389.05	$1,584.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $389.05	Professional		$117.49	$154.88	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $263.03 / $645.65	Facility		$112.20	$263.03	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $269.15	Professional		$120.23	$199.53	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $346.74	Professional		$177.83	$218.78	$346.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $1,479.11	Professional		$1,000.00	$1,479.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $239.88 / $457.09	Facility		$128.82	$239.88	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $213.80	Professional		$162.18	$173.78	$213.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $204.17	Professional		$120.23	$158.49	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $199.53 / $199.53	Facility		$83.18	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $295.12	Professional		$63.10	$69.18	$295.12