Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.86 / $105.86 / $115.43	Facility		$105.86	$105.86	$115.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $110.16 / $287.94	Professional		$90.50	$110.16	$287.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.18 / $149.18 / $168.94	Facility		$149.18	$149.18	$168.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $148.53 / $257.04	Professional		$106.50	$148.53	$257.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.41 / $309.18	Professional		$100.00	$131.41	$309.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.27 / $153.30 / $333.82	Professional		$115.27	$153.30	$333.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $96.79 / $126.70 / $171.05	Professional		$96.79	$126.70	$171.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $142.61 / $321.00	Professional		$106.25	$142.61	$321.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $253.38 / $519.25 / $560.79	Facility		$253.38	$519.25	$560.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.00 / $1,082.00 / $1,082.00	Professional		$1,082.00	$1,082.00	$1,082.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $166.91	Professional		$32.34	$32.34	$166.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $139.54 / $201.70	Facility		$102.93	$139.54	$201.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.20 / $172.51 / $313.50	Professional		$120.20	$172.51	$313.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $311.01 / $311.01 / $311.01	Professional		$311.01	$311.01	$311.01
United Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $125.06 / $277.30	Professional		$93.80	$125.06	$277.30