Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.58 / $168.33 / $706.00	Professional		$112.58	$168.33	$706.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.08 / $154.19 / $224.79	Facility		$131.08	$154.19	$224.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $179.59 / $399.93	Professional		$110.86	$179.59	$399.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.23 / $124.61 / $376.96	Professional		$87.23	$124.61	$376.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.01 / $336.01 / $336.01	Facility		$336.01	$336.01	$336.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.05 / $151.74 / $505.50	Professional		$92.05	$151.74	$505.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $125.08 / $140.72 / $189.99	Professional		$125.08	$140.72	$189.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.66 / $154.80 / $246.28	Professional		$126.66	$154.80	$246.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $244.87 / $672.24 / $672.24	Facility		$244.87	$672.24	$672.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.48 / $1,157.24 / $1,157.24	Professional		$1,055.48	$1,157.24	$1,157.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.88 / $168.88 / $168.88	Professional		$168.88	$168.88	$168.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $168.88 / $339.98	Facility		$41.45	$168.88	$339.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $175.91 / $396.55	Professional		$103.65	$175.91	$396.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $493.96 / $493.96 / $493.96	Professional		$493.96	$493.96	$493.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.58 / $112.58 / $1,876.20	Professional		$112.58	$112.58	$1,876.20
United Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $119.62 / $312.05	Professional		$84.44	$119.62	$312.05