Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.15 / $104.15 / $667.11	Facility		$104.15	$104.15	$667.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $104.15 / $667.11	Professional		$90.50	$104.15	$667.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $325.83 / $733.96	Facility		$79.09	$325.83	$733.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $105.61 / $196.28	Professional		$102.95	$105.61	$196.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $273.74 / $488.81	Facility		$97.00	$273.74	$488.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $306.79 / $714.62	Professional		$100.00	$306.79	$714.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.14 / $144.01 / $144.01	Facility		$108.14	$144.01	$144.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.13 / $148.33	Professional		$105.13	$105.13	$148.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.92 / $123.50 / $254.34	Professional		$102.92	$123.50	$254.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.72 / $161.85 / $358.39	Professional		$138.72	$161.85	$358.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $385.20 / $1,098.30 / $1,098.30	Facility		$385.20	$1,098.30	$1,098.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.75 / $1,246.95 / $1,300.58	Professional		$1,217.75	$1,246.95	$1,300.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $399.77 / $399.77 / $399.77	Professional		$399.77	$399.77	$399.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $195.01 / $234.58	Facility		$55.85	$195.01	$234.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $144.00 / $180.80	Professional		$105.13	$144.00	$180.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $436.40 / $436.40 / $436.40	Professional		$436.40	$436.40	$436.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.92 / $174.96 / $184.98	Professional		$102.92	$174.96	$184.98
United Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $86.65 / $208.78	Professional		$79.98	$86.65	$208.78