Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $277.33 / $633.41	Facility		$139.21	$277.33	$633.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $140.60 / $265.12	Professional		$139.21	$140.60	$265.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $222.36 / $498.46	Facility		$147.69	$222.36	$498.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.85 / $143.90 / $262.45	Professional		$125.85	$143.90	$262.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $161.16	Facility		$77.09	$100.00	$161.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.84 / $141.84 / $293.56	Professional		$141.84	$141.84	$293.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $131.33 / $139.21	Facility		$131.33	$131.33	$139.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $161.16	Professional		$139.21	$139.21	$161.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $136.43 / $184.18	Professional		$136.21	$136.43	$184.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.29 / $167.05 / $278.42	Professional		$125.29	$167.05	$278.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.19 / $681.05 / $696.05	Facility		$181.19	$681.05	$696.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,513.09 / $2,513.09 / $2,513.09	Professional		$2,513.09	$2,513.09	$2,513.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $279.68 / $279.68	Professional		$60.00	$279.68	$279.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.39 / $139.21 / $215.89	Facility		$87.39	$139.21	$215.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $170.54	Professional		$139.21	$139.21	$170.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $180.11 / $180.11 / $180.11	Professional		$180.11	$180.11	$180.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $139.21 / $208.82	Professional		$111.37	$139.21	$208.82
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $222.74	Professional		$139.21	$139.21	$222.74