Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $233.04 / $880.91	Facility		$65.00	$233.04	$880.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $84.94 / $379.49	Professional		$45.00	$84.94	$379.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.84 / $297.69 / $686.37	Facility		$146.84	$297.69	$686.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $54.80 / $178.10	Professional		$45.00	$54.80	$178.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $100.00 / $386.34	Facility		$83.84	$100.00	$386.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $48.00 / $136.47	Professional		$33.60	$48.00	$136.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.55 / $236.87 / $458.61	Facility		$93.55	$236.87	$458.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $117.80 / $371.29	Professional		$73.02	$117.80	$371.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $150.69 / $184.95	Professional		$137.00	$150.69	$184.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $157.55 / $301.39	Professional		$123.30	$157.55	$301.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $238.38 / $650.75 / $650.75	Facility		$238.38	$650.75	$650.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $685.00 / $685.00 / $1,027.50	Professional		$685.00	$685.00	$1,027.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.40 / $164.40 / $164.40	Professional		$164.40	$164.40	$164.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.95 / $164.40 / $393.69	Facility		$92.95	$164.40	$393.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $157.55 / $274.00	Professional		$91.12	$157.55	$274.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $480.87 / $480.87 / $480.87	Professional		$480.87	$480.87	$480.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $139.74 / $232.90	Professional		$109.60	$139.74	$232.90
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $272.19	Professional		$57.54	$57.54	$272.19