Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $135.13 / $685.27	Professional		$107.81	$135.13	$685.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.88 / $157.51 / $229.61	Facility		$133.88	$157.51	$229.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $161.19 / $366.56	Professional		$99.50	$161.19	$366.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $111.84 / $338.32	Professional		$78.29	$111.84	$338.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.96 / $342.96 / $342.96	Facility		$342.96	$342.96	$342.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $139.63 / $453.17	Professional		$84.62	$139.63	$453.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.64 / $143.75 / $194.06	Professional		$99.64	$143.75	$194.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $158.13 / $251.56	Professional		$129.38	$158.13	$251.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $250.13 / $682.81 / $682.81	Facility		$250.13	$682.81	$682.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.57 / $1,038.57 / $1,078.13	Professional		$1,038.57	$1,038.57	$1,078.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.49 / $172.49 / $172.49	Professional		$172.49	$172.49	$172.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $178.95 / $310.00	Facility		$139.44	$178.95	$310.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $173.94 / $355.80	Professional		$93.52	$173.94	$355.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $504.56 / $504.56 / $504.56	Professional		$504.56	$504.56	$504.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $115.00 / $1,494.60	Professional		$115.00	$115.00	$1,494.60
United Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $108.55 / $346.14	Professional		$86.25	$108.55	$346.14