Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.66 / $90.66 / $540.00	Facility		$90.66	$90.66	$540.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.69 / $90.66 / $171.00	Professional		$72.69	$90.66	$171.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $268.74 / $594.10	Facility		$68.84	$268.74	$594.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $94.06 / $176.06	Professional		$92.36	$94.06	$176.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $221.56 / $395.64	Facility		$96.60	$221.56	$395.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $248.33 / $578.44	Professional		$100.00	$248.33	$578.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.47 / $117.36 / $126.78	Facility		$87.47	$117.36	$126.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $85.67 / $126.78	Professional		$85.67	$85.67	$126.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $120.04 / $205.88	Professional		$100.03	$120.04	$205.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $131.01 / $290.10	Professional		$112.30	$131.01	$290.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $318.04 / $889.01 / $889.01	Facility		$318.04	$889.01	$889.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $898.37 / $898.37 / $1,252.65	Professional		$898.37	$898.37	$1,252.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.42 / $309.42 / $309.42	Professional		$309.42	$309.42	$309.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $150.94 / $187.16	Facility		$48.61	$150.94	$187.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $117.36 / $155.30	Professional		$85.67	$117.36	$155.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $353.25 / $353.25 / $353.25	Professional		$353.25	$353.25	$353.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $149.72 / $150.05	Professional		$100.03	$149.72	$150.05
United Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $75.31 / $178.08	Professional		$68.37	$75.31	$178.08