Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.19 / $87.19 / $532.23	Facility		$87.19	$87.19	$532.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $87.19 / $532.23	Professional		$71.84	$87.19	$532.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $259.95 / $585.55	Facility		$66.20	$259.95	$585.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $85.01 / $144.38	Professional		$75.73	$85.01	$144.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $218.39 / $389.98	Facility		$96.60	$218.39	$389.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $244.76 / $570.13	Professional		$99.70	$244.76	$570.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.28 / $100.43 / $100.43	Facility		$86.28	$100.43	$100.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $107.06	Professional		$73.31	$73.31	$107.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.47 / $89.36 / $202.92	Professional		$74.47	$89.36	$202.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $129.13 / $285.93	Professional		$110.68	$129.13	$285.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $315.18 / $876.23 / $876.23	Facility		$315.18	$876.23	$876.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $958.17 / $958.17 / $1,088.78	Professional		$958.17	$958.17	$1,088.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $396.81 / $396.81 / $396.81	Professional		$396.81	$396.81	$396.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $156.80 / $193.57	Facility		$46.76	$156.80	$193.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $100.43 / $141.77	Professional		$73.31	$100.43	$141.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $348.17 / $348.17 / $348.17	Professional		$348.17	$348.17	$348.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.47 / $126.60 / $147.58	Professional		$74.47	$126.60	$147.58
United Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $72.43 / $179.53	Professional		$65.76	$72.43	$179.53