Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.86 / $364.58 / $942.76	Facility		$179.86	$364.58	$942.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $144.93 / $609.00	Professional		$75.59	$144.93	$609.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.87 / $309.92 / $714.58	Facility		$152.87	$309.92	$714.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $153.08 / $374.85	Professional		$95.03	$153.08	$374.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $1,599.40	Facility		$58.70	$100.00	$1,599.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $113.59 / $440.94	Professional		$79.51	$113.59	$440.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $246.61 / $477.46	Facility		$104.76	$246.61	$477.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $144.82 / $566.83	Professional		$83.82	$144.82	$566.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.07 / $142.63 / $192.55	Professional		$61.07	$142.63	$192.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $168.30 / $323.23	Professional		$128.37	$168.30	$323.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $677.49 / $677.49	Facility		$248.18	$677.49	$677.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $713.15 / $713.15 / $1,069.73	Professional		$713.15	$713.15	$1,069.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $171.15	Professional		$171.15	$171.15	$171.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.52 / $185.42 / $415.92	Facility		$122.52	$185.42	$415.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $167.77 / $393.20	Professional		$94.87	$167.77	$393.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $500.63 / $500.63 / $500.63	Professional		$500.63	$500.63	$500.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $103.82 / $142.63	Professional		$62.29	$103.82	$142.63
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $74.06 / $383.06	Professional		$59.90	$74.06	$383.06