Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.29 / $153.44 / $949.00	Professional		$111.29	$153.44	$949.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $260.18 / $559.74	Professional		$146.59	$260.18	$559.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $306.39 / $477.78 / $1,082.04	Professional		$306.39	$477.78	$1,082.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.02 / $143.02 / $143.02	Facility		$143.02	$143.02	$143.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $139.75 / $436.13	Professional		$74.00	$139.75	$436.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $174.78 / $235.95	Professional		$117.31	$174.78	$235.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $167.54 / $271.14	Professional		$139.44	$167.54	$271.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $364.51 / $848.31 / $939.44	Facility		$364.51	$848.31	$939.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,194.78 / $2,260.63 / $2,260.63	Professional		$2,194.78	$2,260.63	$2,260.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $78.98 / $134.49	Professional		$55.51	$78.98	$134.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $209.76 / $401.40	Facility		$134.75	$209.76	$401.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $234.21 / $411.97	Professional		$77.69	$234.21	$411.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $518.02 / $518.02 / $518.02	Professional		$518.02	$518.02	$518.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.37 / $141.37 / $194.38	Professional		$141.37	$141.37	$194.38
United Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $137.80 / $441.63	Professional		$84.02	$137.80	$441.63