Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.86 / $182.86 / $959.87	Facility		$182.86	$182.86	$959.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.36 / $182.86 / $959.87	Professional		$145.36	$182.86	$959.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.86 / $504.69 / $1,056.03	Facility		$138.86	$504.69	$1,056.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $185.44 / $316.95	Professional		$166.26	$185.44	$316.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $393.86 / $703.31	Facility		$97.00	$393.86	$703.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $441.41 / $1,028.19	Professional		$100.00	$441.41	$1,028.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.71 / $227.96 / $787.10	Facility		$166.71	$227.96	$787.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $234.80	Professional		$166.41	$166.41	$234.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $177.82 / $213.38 / $365.95	Professional		$177.82	$213.38	$365.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.61 / $232.88 / $515.65	Professional		$199.61	$232.88	$515.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $572.58 / $1,593.03 / $1,593.03	Facility		$572.58	$1,593.03	$1,593.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,495.10 / $4,160.85 / $4,327.29	Professional		$2,495.10	$4,160.85	$4,327.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $702.39 / $702.39 / $702.39	Professional		$702.39	$702.39	$702.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $294.11 / $342.63	Facility		$98.06	$294.11	$342.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $227.96 / $316.64	Professional		$166.41	$227.96	$316.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $627.91 / $627.91 / $627.91	Professional		$627.91	$627.91	$627.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.82 / $266.14 / $266.73	Professional		$177.82	$266.14	$266.73
United Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $151.90 / $316.07	Professional		$139.69	$151.90	$316.07