Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.26 / $190.26 / $998.60	Facility		$190.26	$190.26	$998.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $190.26 / $358.86	Professional		$165.44	$190.26	$358.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $525.11 / $1,098.69	Facility		$144.47	$525.11	$1,098.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $198.35 / $329.79	Professional		$173.00	$198.35	$329.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $409.76 / $731.72	Facility		$98.20	$409.76	$731.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $459.24 / $1,069.70	Professional		$100.00	$459.24	$1,069.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $274.95	Facility		$197.94	$197.94	$274.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $144.50 / $211.02	Professional		$144.50	$144.50	$211.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $185.01 / $222.01 / $380.73	Professional		$185.01	$222.01	$380.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.67 / $242.28 / $536.49	Professional		$207.67	$242.28	$536.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $595.74 / $1,651.29 / $1,651.29	Facility		$595.74	$1,651.29	$1,651.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,785.33 / $1,785.33 / $2,595.90	Professional		$1,785.33	$1,785.33	$2,595.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $730.80 / $730.80	Professional		$730.80	$730.80	$730.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $305.99 / $356.49	Facility		$102.03	$305.99	$356.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $197.94 / $329.44	Professional		$144.50	$197.94	$329.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $653.26 / $653.26 / $653.26	Professional		$653.26	$653.26	$653.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $185.01 / $276.89 / $277.52	Professional		$185.01	$276.89	$277.52
United Facility/Professional Professional Modifier Low / Median / High Price $146.12 / $158.03 / $316.79	Professional		$146.12	$158.03	$316.79