Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $120.23 / $151.36	Facility		$107.15	$120.23	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $199.53	Professional		$102.33	$125.89	$199.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	25	$147.91	$147.91	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $162.18 / $407.38	Facility		$128.82	$162.18	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $338.84	Professional		$93.33	$158.49	$338.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $346.74	Professional		$91.20	$123.03	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $346.74	Professional		$117.49	$151.36	$346.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $151.36 / $181.97	Professional		$46.77	$151.36	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $281.84	Professional		$112.20	$151.36	$281.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $190.55	Professional		$114.82	$114.82	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $194.98 / $239.88	Facility		$125.89	$194.98	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $346.74	Professional		$112.20	$154.88	$346.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $151.36	Professional		$61.66	$112.20	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $426.58	Professional		$102.33	$158.49	$426.58