Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $200.60 / $519.16	Facility		$100.09	$200.60	$519.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $101.09 / $172.32	Professional		$100.09	$101.09	$172.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.19 / $159.87 / $392.19	Facility		$106.19	$159.87	$392.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $104.08 / $220.46	Professional		$94.79	$104.08	$220.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $141.63	Facility		$77.09	$100.00	$141.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $101.98 / $237.01	Professional		$101.98	$101.98	$237.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.42 / $94.42 / $100.09	Facility		$94.42	$94.42	$100.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $124.31	Professional		$100.09	$100.09	$124.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $96.95 / $97.14 / $130.88	Professional		$96.95	$97.14	$130.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $120.11 / $200.18	Professional		$90.08	$120.11	$200.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $129.21 / $485.70 / $500.45	Facility		$129.21	$485.70	$500.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $428.03 / $428.03 / $428.03	Professional		$428.03	$428.03	$428.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.74 / $198.74 / $198.74	Professional		$198.74	$198.74	$198.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $104.09 / $170.20	Facility		$100.09	$104.09	$170.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $124.14	Professional		$100.09	$100.09	$124.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $150.76 / $150.76 / $150.76	Professional		$150.76	$150.76	$150.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $100.09 / $150.13	Professional		$80.06	$100.09	$150.13
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $190.31	Professional		$100.09	$100.09	$190.31