Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.50 / $966.62	Facility		$100.00	$154.50	$966.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $966.62	Professional		$100.00	$100.00	$966.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.12 / $312.00 / $753.15	Facility		$161.12	$312.00	$753.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $112.12 / $274.56	Professional		$60.13	$112.12	$274.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.00 / $108.69 / $423.93	Facility		$92.00	$108.69	$423.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $92.00 / $231.28	Professional		$64.40	$92.00	$231.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.61 / $259.91 / $503.21	Facility		$109.61	$259.91	$503.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $129.27 / $407.34	Professional		$80.08	$129.27	$407.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $165.36 / $202.95	Professional		$150.33	$165.36	$202.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $172.88 / $330.73	Professional		$135.30	$172.88	$330.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $261.57 / $883.04 / $883.04	Facility		$261.57	$883.04	$883.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $751.65 / $751.65 / $1,127.48	Professional		$751.65	$751.65	$1,127.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.40 / $180.40 / $180.40	Professional		$180.40	$180.40	$180.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.10 / $180.40 / $431.98	Facility		$115.10	$180.40	$431.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.69 / $172.88 / $300.66	Professional		$99.69	$172.88	$300.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $527.65 / $527.65 / $527.65	Professional		$527.65	$527.65	$527.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $153.34 / $255.56	Professional		$120.26	$153.34	$255.56
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $63.74 / $298.68	Professional		$63.14	$63.74	$298.68