Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $84.38 / $504.68	Facility		$84.38	$84.38	$504.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $84.38 / $504.68	Professional		$65.20	$84.38	$504.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $250.12 / $555.22	Facility		$64.06	$250.12	$555.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $85.43 / $174.20	Professional		$83.85	$85.43	$174.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $207.08 / $369.79	Facility		$96.60	$207.08	$369.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $94.54 / $232.07 / $540.60	Professional		$94.54	$232.07	$540.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $89.11 / $93.50	Facility		$81.81	$89.11	$93.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $94.99	Professional		$65.05	$65.05	$94.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $82.43 / $192.40	Professional		$68.69	$82.43	$192.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $122.44 / $271.11	Professional		$104.95	$122.44	$271.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $380.24 / $830.82 / $830.82	Facility		$380.24	$830.82	$830.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $899.09 / $899.09 / $1,404.83	Professional		$899.09	$899.09	$1,404.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $288.00 / $288.00	Professional		$288.00	$288.00	$288.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $145.91 / $177.28	Facility		$45.25	$145.91	$177.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $89.11 / $137.19	Professional		$65.05	$89.11	$137.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $330.14 / $330.14 / $330.14	Professional		$330.14	$330.14	$330.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $116.77 / $139.93	Professional		$68.69	$116.77	$139.93
United Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $81.77 / $234.03	Professional		$66.70	$81.77	$234.03