Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.42 / $185.42 / $972.99	Facility		$185.42	$185.42	$972.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $185.42 / $972.99	Professional		$147.34	$185.42	$972.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.81 / $511.77 / $1,070.47	Facility		$140.81	$511.77	$1,070.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.55 / $186.58 / $321.32	Professional		$168.55	$186.58	$321.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $399.25 / $712.94	Facility		$97.00	$399.25	$712.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $447.45 / $1,042.25	Professional		$100.00	$447.45	$1,042.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $267.89	Facility		$192.91	$192.91	$267.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $140.82 / $205.65	Professional		$140.82	$140.82	$205.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.25 / $216.30 / $370.95	Professional		$180.25	$216.30	$370.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.34 / $236.06 / $522.71	Professional		$202.34	$236.06	$522.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $580.44 / $1,609.26 / $1,609.26	Facility		$580.44	$1,609.26	$1,609.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,742.90 / $1,742.90 / $2,529.23	Professional		$1,742.90	$1,742.90	$2,529.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $712.08 / $712.08 / $712.08	Professional		$712.08	$712.08	$712.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $303.51 / $347.36	Facility		$99.43	$303.51	$347.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $192.91 / $320.98	Professional		$140.82	$192.91	$320.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $636.50 / $636.50 / $636.50	Professional		$636.50	$636.50	$636.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $180.25 / $269.77 / $270.38	Professional		$180.25	$269.77	$270.38
United Facility/Professional Professional Modifier Low / Median / High Price $142.40 / $154.27 / $326.30	Professional		$142.40	$154.27	$326.30