Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.26 / $154.50 / $933.60	Facility		$99.26	$154.50	$933.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $189.83 / $688.20	Professional		$100.00	$189.83	$688.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.89 / $377.18 / $913.04	Facility		$189.89	$377.18	$913.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $225.59 / $534.20	Professional		$74.08	$225.59	$534.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $133.90 / $522.26	Facility		$92.60	$133.90	$522.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $200.00 / $500.10	Professional		$140.00	$200.00	$500.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.88 / $320.20 / $619.96	Facility		$121.88	$320.20	$619.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $159.34 / $500.90	Professional		$98.66	$159.34	$500.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $203.72 / $250.02	Professional		$185.20	$203.72	$250.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $212.98 / $393.93	Professional		$166.68	$212.98	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $322.25 / $879.70 / $879.70	Facility		$322.25	$879.70	$879.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $926.00 / $926.00 / $1,389.00	Professional		$926.00	$926.00	$1,389.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $222.24 / $222.24	Professional		$222.24	$222.24	$222.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.98 / $222.24 / $532.20	Facility		$127.98	$222.24	$532.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.59 / $212.98 / $380.18	Professional		$122.59	$212.98	$380.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $650.04 / $650.04 / $650.04	Professional		$650.04	$650.04	$650.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $188.90 / $314.83	Professional		$148.16	$188.90	$314.83
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $84.27 / $507.54	Professional		$77.78	$84.27	$507.54