Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.25 / $130.25 / $834.26	Facility		$130.25	$130.25	$834.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $130.25 / $807.49	Professional		$101.90	$130.25	$807.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.96 / $407.47 / $917.85	Facility		$98.96	$407.47	$917.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.60 / $132.15 / $210.85	Professional		$110.60	$132.15	$210.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $342.33 / $611.29	Facility		$97.00	$342.33	$611.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $383.66 / $893.68	Professional		$100.00	$383.66	$893.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.24 / $135.51 / $154.56	Facility		$135.24	$135.51	$154.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $98.92 / $139.58	Professional		$98.92	$98.92	$139.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.56 / $185.47 / $318.07	Professional		$154.56	$185.47	$318.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $202.41 / $468.42	Professional		$173.49	$202.41	$468.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $730.50 / $1,373.46 / $1,373.46	Facility		$730.50	$1,373.46	$1,373.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,791.49 / $2,858.49 / $2,858.49	Professional		$2,791.49	$2,858.49	$2,858.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $455.38 / $455.38 / $455.38	Professional		$455.38	$455.38	$455.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $231.84 / $303.61	Facility		$69.84	$231.84	$303.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $135.51 / $225.74	Professional		$98.92	$135.51	$225.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $545.75 / $545.75 / $545.75	Professional		$545.75	$545.75	$545.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.56 / $231.32 / $231.84	Professional		$154.56	$231.32	$231.84
United Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $108.19 / $289.14	Professional		$98.23	$108.19	$289.14