Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $139.34 / $731.30	Facility		$12.89	$139.34	$731.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $139.34 / $731.30	Professional		$110.75	$139.34	$731.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.81 / $384.57 / $804.56	Facility		$105.81	$384.57	$804.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $135.85 / $241.52	Professional		$126.69	$135.85	$241.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $300.08 / $535.87	Facility		$97.00	$300.08	$535.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $336.30 / $783.36	Professional		$100.00	$336.30	$783.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $201.36	Facility		$168.00	$168.00	$201.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $301.13	Professional		$122.64	$122.64	$301.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $135.49 / $162.59 / $278.81	Professional		$135.49	$162.59	$278.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $177.42 / $392.86	Professional		$152.08	$177.42	$392.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.30 / $1,209.31 / $1,209.31	Facility		$436.30	$1,209.31	$1,209.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,307.45 / $1,307.45 / $1,900.95	Professional		$1,307.45	$1,307.45	$1,900.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $535.23 / $535.23 / $535.23	Professional		$535.23	$535.23	$535.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $224.09 / $261.08	Facility		$74.72	$224.09	$261.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $247.52	Professional		$122.64	$122.64	$247.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $478.40 / $478.40 / $478.40	Professional		$478.40	$478.40	$478.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $135.49 / $202.77 / $203.24	Professional		$135.49	$202.77	$203.24
United Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $115.74 / $245.25	Professional		$105.09	$115.74	$245.25