Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.17 / $109.17 / $549.51	Facility		$109.17	$109.17	$549.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $109.17 / $549.51	Professional		$65.97	$109.17	$549.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.19 / $131.82 / $228.11	Facility		$86.19	$131.82	$228.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.64 / $111.80 / $120.74	Professional		$91.64	$111.80	$120.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.92 / $233.02 / $416.10	Facility		$96.92	$233.02	$416.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $156.55 / $481.41	Professional		$100.00	$156.55	$481.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $151.31	Facility		$128.79	$128.79	$151.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $94.02 / $137.30	Professional		$94.02	$94.02	$137.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $119.25 / $143.10	Professional		$48.56	$119.25	$143.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $109.54 / $242.54	Professional		$37.77	$109.54	$242.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.10 / $532.72 / $532.72	Facility		$211.10	$532.72	$532.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $811.35 / $814.14 / $814.14	Professional		$811.35	$814.14	$814.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $280.66 / $280.66 / $280.66	Professional		$280.66	$280.66	$280.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $53.96 / $128.79	Facility		$39.29	$53.96	$128.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $94.02 / $128.79	Professional		$80.98	$94.02	$128.79
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 $43.17 / $119.25 / $155.03	Professional		$43.17	$119.25	$155.03
United Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $88.70 / $181.21	Professional		$73.69	$88.70	$181.21