Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,479.11 / $2,454.71	Facility		$457.09	$1,479.11	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $323.59	Professional		$213.80	$275.42	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $1,621.81	Facility		$416.87	$794.33	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $346.74 / $724.44	Professional		$5.89	$346.74	$724.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $831.76 / $3,467.37	Facility		$69.18	$831.76	$3,467.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $741.31	Professional		$190.55	$251.19	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $524.81 / $1,071.52	Facility		$213.80	$524.81	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $398.11 / $489.78	Professional		$208.93	$398.11	$489.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $354.81	Professional		$257.04	$323.59	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $562.34	Professional		$257.04	$323.59	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
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 $169.82 / $371.54 / $831.76	Facility		$169.82	$371.54	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $354.81	Professional		$208.93	$323.59	$354.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $436.52	Professional		$257.04	$288.40	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $177.83 / $323.59	Facility		$134.90	$177.83	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $588.84	Professional		$134.90	$162.18	$588.84