Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $196.56 / $986.04	Facility		$166.83	$196.56	$986.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $151.81 / $468.39	Professional		$120.01	$151.81	$468.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $293.00 / $876.00	Facility		$51.02	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.26 / $164.42 / $334.20	Professional		$126.26	$164.42	$334.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $140.16 / $207.39	Facility		$92.60	$140.16	$207.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.35 / $345.27	Professional		$100.00	$147.35	$345.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $79.23 / $230.04	Facility		$65.33	$79.23	$230.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $214.60 / $428.10	Professional		$149.69	$214.60	$428.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $185.78 / $228.00	Professional		$168.89	$185.78	$228.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.86 / $162.50 / $329.26	Professional		$127.86	$162.50	$329.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $265.70 / $591.88 / $693.98	Facility		$265.70	$591.88	$693.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $935.19 / $935.19 / $1,087.50	Professional		$935.19	$935.19	$1,087.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $185.52	Professional		$32.34	$32.34	$185.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.61 / $176.03 / $255.31	Facility		$135.61	$176.03	$255.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.30 / $243.83 / $389.05	Professional		$159.30	$243.83	$389.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $500.57 / $500.57 / $500.57	Professional		$500.57	$500.57	$500.57
United Facility/Professional Facility Modifier Low / Median / High Price $155.43 / $155.43 / $155.43	Facility		$155.43	$155.43	$155.43
United Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $152.30 / $415.00	Professional		$112.00	$152.30	$415.00