Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.66 / $156.66 / $878.12	Facility		$156.66	$156.66	$878.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $156.65 / $229.70	Professional		$127.58	$156.65	$229.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.97 / $439.30 / $966.10	Facility		$118.97	$439.30	$966.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $157.80 / $276.33	Professional		$144.94	$157.80	$276.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $360.31 / $643.41	Facility		$97.00	$360.31	$643.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $403.83 / $940.64	Professional		$100.00	$403.83	$940.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.35 / $190.78 / $190.78	Facility		$142.35	$190.78	$190.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $139.27 / $203.38	Professional		$139.27	$139.27	$203.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $185.52 / $334.79	Professional		$154.60	$185.52	$334.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.61 / $213.05 / $471.74	Professional		$182.61	$213.05	$471.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $603.16 / $1,445.66 / $1,445.66	Facility		$603.16	$1,445.66	$1,445.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,463.77 / $1,463.77 / $1,956.30	Professional		$1,463.77	$1,463.77	$1,956.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $563.54 / $563.54 / $563.54	Professional		$563.54	$563.54	$563.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.01 / $258.70 / $304.35	Facility		$84.01	$258.70	$304.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $190.78 / $258.70	Professional		$139.27	$190.78	$258.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $574.44 / $574.44 / $574.44	Professional		$574.44	$574.44	$574.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $243.48 / $243.48	Professional		$154.60	$243.48	$243.48
United Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $130.13 / $307.06	Professional		$118.89	$130.13	$307.06