Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $129.69 / $657.53	Facility		$75.00	$129.69	$657.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $129.69 / $265.88	Professional		$51.13	$129.69	$265.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.60 / $232.20 / $521.37	Facility		$109.60	$232.20	$521.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $148.49 / $351.62	Professional		$40.90	$148.49	$351.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $126.39 / $288.37	Facility		$73.93	$126.39	$288.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $141.08 / $352.77	Professional		$98.76	$141.08	$352.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.11 / $176.81 / $342.32	Facility		$75.11	$176.81	$342.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $88.04 / $276.76	Professional		$54.44	$88.04	$276.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $112.49 / $138.05	Professional		$102.26	$112.49	$138.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $117.60 / $224.97	Professional		$92.03	$117.60	$224.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.93 / $1,569.67 / $1,569.67	Facility		$177.93	$1,569.67	$1,569.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $511.30 / $511.30 / $766.95	Professional		$511.30	$511.30	$766.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.72 / $122.72 / $122.72	Professional		$122.72	$122.72	$122.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.05 / $137.26 / $301.67	Facility		$95.05	$137.26	$301.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $117.60 / $204.52	Professional		$67.73	$117.60	$204.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $358.93 / $358.93 / $358.93	Professional		$358.93	$358.93	$358.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $104.31 / $173.84	Professional		$81.81	$104.31	$173.84
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $46.02 / $205.24	Professional		$42.95	$46.02	$205.24