Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.78 / $184.78 / $184.78	Facility		$184.78	$184.78	$184.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.53 / $184.78 / $198.19	Professional		$146.53	$184.78	$198.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $509.99 / $1,064.53	Facility		$140.32	$509.99	$1,064.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.63 / $187.09 / $724.17	Professional		$183.63	$187.09	$724.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $397.03 / $708.98	Facility		$98.20	$397.03	$708.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $444.96 / $1,036.46	Professional		$100.00	$444.96	$1,036.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $266.41	Facility		$192.25	$192.25	$266.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $140.34 / $198.02	Professional		$140.34	$140.34	$198.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $201.62 / $241.94 / $368.90	Professional		$201.62	$241.94	$368.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.22 / $234.75 / $519.80	Professional		$201.22	$234.75	$519.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $577.25 / $1,603.51 / $1,603.51	Facility		$577.25	$1,603.51	$1,603.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,729.95 / $1,729.95 / $2,515.19	Professional		$1,729.95	$1,729.95	$2,515.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $708.17 / $708.17 / $708.17	Professional		$708.17	$708.17	$708.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $331.60 / $345.45	Facility		$104.04	$331.60	$345.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $192.25 / $328.82	Professional		$140.34	$192.25	$328.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $632.96 / $632.96 / $632.96	Professional		$632.96	$632.96	$632.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $201.62 / $268.29 / $301.82	Professional		$201.62	$268.29	$301.82
United Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $153.49 / $324.49	Professional		$141.91	$153.49	$324.49