Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.12 / $157.99 / $995.45	Facility		$131.12	$157.99	$995.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.16 / $145.83 / $784.80	Professional		$117.16	$145.83	$784.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.14 / $131.94 / $347.51	Facility		$109.14	$131.94	$347.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $136.99 / $320.68	Professional		$88.41	$136.99	$320.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $312.52 / $1,404.78	Facility		$59.40	$312.52	$1,404.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.28 / $114.84 / $269.00	Professional		$83.28	$114.84	$269.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.91 / $514.25 / $1,499.59	Facility		$405.91	$514.25	$1,499.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.28 / $165.56 / $408.92	Professional		$105.28	$165.56	$408.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $206.52 / $247.82	Professional		$32.63	$206.52	$247.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.60 / $208.90 / $382.98	Professional		$151.60	$208.90	$382.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $289.13 / $684.26 / $826.88	Facility		$289.13	$684.26	$826.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $975.32 / $975.32 / $1,282.13	Professional		$975.32	$975.32	$1,282.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.49 / $191.15 / $278.52	Facility		$110.49	$191.15	$278.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.29 / $175.54 / $387.90	Professional		$107.29	$175.54	$387.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $486.96 / $486.96 / $486.96	Professional		$486.96	$486.96	$486.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $84.24 / $229.70	Professional		$48.94	$84.24	$229.70
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $134.93 / $330.75	Professional		$97.44	$134.93	$330.75