Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.60 / $107.60 / $689.21	Facility		$107.60	$107.60	$689.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.37 / $107.60 / $689.21	Professional		$92.37	$107.60	$689.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $336.63 / $758.28	Facility		$81.70	$336.63	$758.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $109.12 / $212.79	Professional		$109.12	$109.12	$212.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $282.81 / $505.01	Facility		$97.00	$282.81	$505.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $316.95 / $738.28	Professional		$100.00	$316.95	$738.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.73 / $111.95 / $127.69	Facility		$111.73	$111.95	$127.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $81.72 / $115.31	Professional		$81.72	$81.72	$115.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $142.38 / $262.77	Professional		$118.66	$142.38	$262.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.33 / $167.22 / $370.26	Professional		$143.33	$167.22	$370.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $464.48 / $1,134.68 / $1,134.68	Facility		$464.48	$1,134.68	$1,134.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,146.61 / $1,146.61 / $1,379.48	Professional		$1,146.61	$1,146.61	$1,379.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $408.05 / $408.05 / $408.05	Professional		$408.05	$408.05	$408.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $199.05 / $238.88	Facility		$57.70	$199.05	$238.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $111.94 / $198.73	Professional		$81.72	$111.94	$198.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $450.86 / $450.86 / $450.86	Professional		$450.86	$450.86	$450.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $191.10 / $191.10	Professional		$118.66	$191.10	$191.10
United Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $89.52 / $226.70	Professional		$81.15	$89.52	$226.70