Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.62 / $82.82 / $768.85	Facility		$75.62	$82.82	$768.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $97.31 / $233.33	Professional		$78.67	$97.31	$233.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.04 / $349.45 / $845.86	Facility		$135.04	$349.45	$845.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.63 / $171.26 / $247.82	Professional		$124.63	$171.26	$247.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $315.47 / $563.34	Facility		$97.00	$315.47	$563.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $353.56 / $823.57	Professional		$100.00	$353.56	$823.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $211.68	Facility		$178.39	$178.39	$211.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $130.22 / $183.74	Professional		$130.22	$130.22	$183.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $170.92 / $293.12	Professional		$142.43	$170.92	$293.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $186.53 / $399.71	Professional		$159.88	$186.53	$399.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $540.92 / $1,265.73 / $1,265.73	Facility		$540.92	$1,265.73	$1,265.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.02 / $1,327.02 / $1,998.53	Professional		$1,327.02	$1,327.02	$1,998.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $800.17 / $800.17 / $800.17	Professional		$800.17	$800.17	$800.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $235.58 / $266.47	Facility		$77.23	$235.58	$266.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $178.39 / $243.13	Professional		$130.22	$178.39	$243.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $502.96 / $502.96 / $502.96	Professional		$502.96	$502.96	$502.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $213.18 / $213.65	Professional		$142.43	$213.18	$213.65
United Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $120.15 / $257.83	Professional		$110.62	$120.15	$257.83