Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.24 / $418.01 / $982.47	Facility		$125.24	$418.01	$982.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $125.24 / $785.88	Professional		$97.78	$125.24	$785.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.00 / $275.14 / $614.00	Facility		$131.00	$275.14	$614.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $184.73 / $437.44	Professional		$60.36	$184.73	$437.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $199.17 / $1,353.48	Facility		$59.40	$199.17	$1,353.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $98.08 / $246.56	Professional		$68.66	$98.08	$246.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.77 / $209.72 / $421.74	Facility		$89.77	$209.72	$421.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $122.51 / $602.72	Professional		$75.44	$122.51	$602.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $124.94 / $165.00	Professional		$108.64	$124.94	$165.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $140.55 / $268.88	Professional		$110.00	$140.55	$268.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $212.66 / $580.54 / $580.54	Facility		$212.66	$580.54	$580.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $611.10 / $611.10 / $916.65	Professional		$611.10	$611.10	$916.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.11 / $157.29 / $354.00	Facility		$104.11	$157.29	$354.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $146.66 / $408.32	Professional		$81.13	$146.66	$408.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $428.99 / $428.99 / $428.99	Professional		$428.99	$428.99	$428.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $121.68 / $184.69	Professional		$97.78	$121.68	$184.69
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $63.37 / $314.47	Professional		$51.33	$63.37	$314.47