Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.39 / $110.39 / $574.39	Facility		$110.39	$110.39	$574.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.03 / $110.39 / $209.96	Professional		$91.03	$110.39	$209.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $304.72 / $631.97	Facility		$83.84	$304.72	$631.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $111.78 / $203.77	Professional		$89.72	$111.78	$203.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $235.70 / $420.89	Facility		$97.00	$235.70	$420.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $264.14 / $615.27	Professional		$100.00	$264.14	$615.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $126.23 / $126.23	Facility		$93.11	$126.23	$126.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $92.15 / $130.02	Professional		$92.15	$92.15	$130.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $88.92 / $219.00	Professional		$74.09	$88.92	$219.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $139.36 / $322.52	Professional		$119.45	$139.36	$322.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $373.34 / $1,009.99 / $1,009.99	Facility		$373.34	$1,009.99	$1,009.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.33 / $1,176.33 / $1,838.03	Professional		$1,176.33	$1,176.33	$1,838.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $376.79 / $376.79 / $376.79	Professional		$376.79	$376.79	$376.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $176.01 / $201.97	Facility		$59.20	$176.01	$201.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $126.23 / $199.09	Professional		$92.15	$126.23	$199.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $375.75 / $375.75 / $375.75	Professional		$375.75	$375.75	$375.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $125.97 / $159.27	Professional		$74.09	$125.97	$159.27
United Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $91.70 / $193.75	Professional		$83.26	$91.70	$193.75