Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.24 / $171.99 / $798.94	Professional		$120.24	$171.99	$798.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.99 / $164.68 / $240.07	Facility		$139.99	$164.68	$240.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $184.05 / $418.45	Professional		$116.00	$184.05	$418.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $130.38 / $394.43	Professional		$91.27	$130.38	$394.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.18 / $359.18 / $359.18	Facility		$359.18	$359.18	$359.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $158.87 / $528.52	Professional		$96.29	$158.87	$528.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $150.30 / $202.91	Professional		$75.03	$150.30	$202.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $165.33 / $263.02	Professional		$135.27	$165.33	$263.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $261.52 / $713.93 / $713.93	Facility		$261.52	$713.93	$713.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.25 / $1,210.74 / $1,210.74	Professional		$1,127.25	$1,210.74	$1,210.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $180.36 / $180.36	Professional		$180.36	$180.36	$180.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.31 / $240.48 / $359.18	Facility		$153.31	$240.48	$359.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $187.88 / $451.21	Professional		$108.45	$187.88	$451.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $527.54 / $527.54 / $527.54	Professional		$527.54	$527.54	$527.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.24 / $120.24 / $1,125.45	Professional		$120.24	$120.24	$1,125.45
United Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $125.14 / $330.66	Professional		$90.18	$125.14	$330.66