Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.72 / $104.72 / $549.51	Facility		$104.72	$104.72	$549.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.22 / $104.72 / $549.51	Professional		$83.22	$104.72	$549.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.52 / $289.02 / $604.54	Facility		$79.52	$289.02	$604.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.21 / $105.27 / $181.49	Professional		$95.21	$105.27	$181.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $225.49 / $402.65	Facility		$97.00	$225.49	$402.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $252.70 / $588.64	Professional		$100.00	$252.70	$588.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $151.31	Facility		$112.22	$112.22	$151.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $226.13	Professional		$81.92	$81.92	$226.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $101.81 / $122.17 / $209.50	Professional		$101.81	$122.17	$209.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $133.32 / $295.20	Professional		$114.27	$133.32	$295.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $327.85 / $908.81 / $908.81	Facility		$327.85	$908.81	$908.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $984.25 / $984.25 / $1,428.38	Professional		$984.25	$984.25	$1,428.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $588.98 / $588.98 / $588.98	Professional		$588.98	$588.98	$588.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $171.76 / $196.14	Facility		$56.16	$171.76	$196.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $185.99	Professional		$81.92	$81.92	$185.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $359.47 / $359.47 / $359.47	Professional		$359.47	$359.47	$359.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.81 / $152.36 / $152.72	Professional		$101.81	$152.36	$152.72
United Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $87.13 / $194.18	Professional		$80.42	$87.13	$194.18