Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.30 / $193.30 / $972.99	Facility		$193.30	$193.30	$972.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.80 / $193.30 / $972.99	Professional		$116.80	$193.30	$972.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.61 / $233.42 / $403.89	Facility		$152.61	$233.42	$403.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.25 / $193.20 / $208.66	Professional		$162.25	$193.20	$208.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $412.55 / $736.70	Facility		$97.00	$412.55	$736.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $277.19 / $852.42	Professional		$100.00	$277.19	$852.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $267.89	Facility		$211.82	$211.82	$267.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $154.63 / $218.17	Professional		$154.63	$154.63	$218.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.99 / $211.14 / $253.37	Professional		$85.99	$211.14	$253.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $193.95 / $429.46	Professional		$66.88	$193.95	$429.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $373.80 / $943.35 / $943.35	Facility		$373.80	$943.35	$943.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.40 / $1,441.58 / $1,441.58	Professional		$1,436.40	$1,441.58	$1,441.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $419.32 / $419.32 / $419.32	Professional		$419.32	$419.32	$419.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $95.54 / $211.82	Facility		$69.56	$95.54	$211.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $154.63 / $211.82	Professional		$143.38	$154.63	$211.82
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 $76.43 / $211.14 / $274.48	Professional		$76.43	$211.14	$274.48
United Facility/Professional Professional Modifier Low / Median / High Price $120.82 / $154.02 / $317.45	Professional		$120.82	$154.02	$317.45