Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.43 / $122.43 / $133.37	Facility		$122.43	$122.43	$133.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.87 / $134.66 / $375.38	Professional		$108.87	$134.66	$375.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.53 / $175.53 / $198.78	Facility		$175.53	$175.53	$198.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.90 / $182.10 / $311.33	Professional		$139.90	$182.10	$311.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $152.19 / $356.82	Professional		$103.66	$152.19	$356.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Facility		$152.16	$152.16	$152.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.78 / $178.06 / $385.33	Professional		$131.78	$178.06	$385.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $144.81 / $195.49	Professional		$121.51	$144.81	$195.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $162.99 / $386.64	Professional		$121.51	$162.99	$386.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $289.82 / $593.41 / $640.97	Facility		$289.82	$593.41	$640.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.50 / $1,352.50 / $1,352.50	Professional		$1,352.50	$1,352.50	$1,352.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $191.05	Professional		$32.34	$32.34	$191.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.25 / $159.49 / $231.70	Facility		$119.25	$159.49	$231.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $200.41 / $359.37	Professional		$138.63	$200.41	$359.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $356.68 / $356.68 / $356.68	Professional		$356.68	$356.68	$356.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $160.88 / $160.88	Professional		$117.00	$160.88	$160.88
United Facility/Professional Professional Modifier Low / Median / High Price $106.92 / $146.22 / $315.99	Professional		$106.92	$146.22	$315.99