Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.91 / $409.50 / $723.34	Facility		$102.91	$409.50	$723.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $103.35 / $395.44	Professional		$73.70	$103.35	$395.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.58 / $92.65 / $376.00	Facility		$74.58	$92.65	$376.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $123.46 / $261.02	Professional		$86.31	$123.46	$261.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $161.32 / $288.06	Facility		$96.60	$161.32	$288.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.08 / $93.26 / $150.55	Professional		$66.08	$93.26	$150.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.10 / $98.00 / $140.00	Facility		$83.10	$98.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $122.57 / $288.16	Professional		$95.13	$122.57	$288.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $129.34 / $161.68	Professional		$62.08	$129.34	$161.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.74 / $117.20 / $281.95	Professional		$99.74	$117.20	$281.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $200.62 / $419.05 / $556.70	Facility		$200.62	$419.05	$556.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $692.10 / $692.10 / $892.35	Professional		$692.10	$692.10	$892.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $68.28 / $156.31	Professional		$32.34	$68.28	$156.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $127.24 / $187.54	Facility		$85.25	$127.24	$187.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $126.10 / $267.16	Professional		$98.64	$126.10	$267.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $295.77 / $295.77 / $295.77	Professional		$295.77	$295.77	$295.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $115.30 / $143.80	Professional		$80.70	$115.30	$143.80
United Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $97.17 / $221.36	Professional		$71.68	$97.17	$221.36