Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.66 / $114.66 / $599.20	Facility		$114.66	$114.66	$599.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.59 / $114.66 / $599.20	Professional		$88.59	$114.66	$599.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $316.49 / $659.24	Facility		$87.08	$316.49	$659.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $116.28 / $236.71	Professional		$116.10	$116.28	$236.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $245.86 / $439.04	Facility		$97.00	$245.86	$439.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $275.55 / $641.87	Professional		$100.00	$275.55	$641.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.13 / $119.29 / $119.29	Facility		$97.13	$119.29	$119.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $295.13	Professional		$87.08	$87.08	$295.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $93.12 / $228.45	Professional		$77.59	$93.12	$228.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.61 / $145.38 / $321.89	Professional		$124.61	$145.38	$321.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $516.70 / $986.48 / $986.48	Facility		$516.70	$986.48	$986.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.57 / $1,145.39 / $1,431.75	Professional		$1,118.57	$1,145.39	$1,431.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $573.28 / $573.28 / $573.28	Professional		$573.28	$573.28	$573.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $180.39 / $210.48	Facility		$61.48	$180.39	$210.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $201.36	Professional		$87.08	$87.08	$201.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $391.98 / $391.98 / $391.98	Professional		$391.98	$391.98	$391.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $131.91 / $166.14	Professional		$77.59	$131.91	$166.14
United Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $95.24 / $190.90	Professional		$88.04	$95.24	$190.90