Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.54 / $182.54 / $991.87	Facility		$182.54	$182.54	$991.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $182.54 / $991.87	Professional		$156.34	$182.54	$991.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.62 / $503.81 / $1,091.26	Facility		$138.62	$503.81	$1,091.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.70 / $185.10 / $319.70	Professional		$167.70	$185.10	$319.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $407.01 / $726.80	Facility		$98.20	$407.01	$726.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $456.13 / $1,062.47	Professional		$100.00	$456.13	$1,062.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.80 / $189.91 / $189.91	Facility		$160.80	$189.91	$189.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $202.45	Professional		$138.63	$138.63	$202.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $132.35 / $158.82 / $378.16	Professional		$132.35	$158.82	$378.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.27 / $240.65 / $532.86	Professional		$206.27	$240.65	$532.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $697.83 / $1,632.96 / $1,632.96	Facility		$697.83	$1,632.96	$1,632.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,931.89 / $1,931.89 / $2,279.48	Professional		$1,931.89	$1,931.89	$2,279.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $800.07 / $800.07 / $800.07	Professional		$800.07	$800.07	$800.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $296.83 / $360.97	Facility		$97.89	$296.83	$360.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $189.91 / $318.95	Professional		$138.63	$189.91	$318.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $648.85 / $648.85 / $648.85	Professional		$648.85	$648.85	$648.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.35 / $225.00 / $275.02	Professional		$132.35	$225.00	$275.02
United Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $168.36 / $459.95	Professional		$144.28	$168.36	$459.95