Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.60 / $117.60 / $753.23	Facility		$117.60	$117.60	$753.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $117.60 / $753.23	Professional		$69.64	$117.60	$753.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.79 / $107.34 / $260.89	Facility		$82.79	$107.34	$260.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $119.07 / $129.25	Professional		$95.51	$119.07	$129.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $309.08 / $551.91	Facility		$97.00	$309.08	$551.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $201.66 / $659.89	Professional		$100.00	$201.66	$659.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.11 / $133.72 / $139.55	Facility		$122.11	$133.72	$139.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $97.62 / $142.55	Professional		$97.62	$97.62	$142.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $139.55 / $167.46	Professional		$56.01	$139.55	$167.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $140.82 / $311.81	Professional		$43.56	$140.82	$311.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $272.93 / $620.42 / $620.42	Facility		$272.93	$620.42	$620.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.40 / $1,067.99 / $1,067.99	Professional		$1,040.40	$1,067.99	$1,067.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $308.15 / $308.15 / $308.15	Professional		$308.15	$308.15	$308.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.23 / $63.06 / $209.33	Facility		$62.23	$63.06	$209.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $97.62 / $133.72	Professional		$97.62	$97.62	$133.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $492.74 / $492.74 / $492.74	Professional		$492.74	$492.74	$492.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $139.55 / $181.42	Professional		$49.78	$139.55	$181.42
United Facility/Professional Professional Modifier Low / Median / High Price $82.79 / $97.68 / $263.39	Professional		$82.79	$97.68	$263.39