Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.80 / $115.80 / $556.28	Facility		$115.80	$115.80	$556.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.42 / $115.80 / $151.29	Professional		$101.42	$115.80	$151.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.94 / $295.56 / $612.01	Facility		$87.94	$295.56	$612.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $119.57 / $202.49	Professional		$106.21	$119.57	$202.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $228.26 / $407.61	Facility		$97.00	$228.26	$407.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $255.81 / $595.87	Professional		$100.00	$255.81	$595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.17 / $138.33 / $151.68	Facility		$90.17	$138.33	$151.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $252.38	Professional		$100.98	$100.98	$252.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $87.72 / $212.08	Professional		$73.09	$87.72	$212.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $134.96 / $298.83	Professional		$115.68	$134.96	$298.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $365.79 / $969.09 / $969.09	Facility		$365.79	$969.09	$969.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.50 / $1,272.50 / $1,446.00	Professional		$1,272.50	$1,272.50	$1,446.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $526.99 / $526.99 / $526.99	Professional		$526.99	$526.99	$526.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $172.72 / $203.46	Facility		$62.10	$172.72	$203.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $198.87	Professional		$100.98	$100.98	$198.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $363.90 / $363.90 / $363.90	Professional		$363.90	$363.90	$363.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $124.27 / $154.24	Professional		$73.09	$124.27	$154.24
United Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $96.19 / $178.09	Professional		$88.93	$96.19	$178.09