Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.69 / $112.69 / $587.71	Facility		$112.69	$112.69	$587.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $112.69 / $587.71	Professional		$90.53	$112.69	$587.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.58 / $311.04 / $646.60	Facility		$85.58	$311.04	$646.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.82 / $114.28 / $194.13	Professional		$101.82	$114.28	$194.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $241.16 / $430.65	Facility		$97.00	$241.16	$430.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $270.27 / $629.55	Professional		$100.00	$270.27	$629.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.28 / $147.05 / $147.05	Facility		$95.28	$147.05	$147.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $241.88	Professional		$107.35	$107.35	$241.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.31 / $99.97 / $224.07	Professional		$83.31	$99.97	$224.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $142.59 / $315.74	Professional		$122.22	$142.59	$315.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $350.68 / $981.02 / $981.02	Facility		$350.68	$981.02	$981.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.93 / $1,050.93 / $1,554.00	Professional		$1,050.93	$1,050.93	$1,554.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $430.19 / $430.19 / $430.19	Professional		$430.19	$430.19	$430.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.43 / $176.94 / $209.85	Facility		$60.43	$176.94	$209.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $203.70	Professional		$107.35	$107.35	$203.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $384.46 / $384.46 / $384.46	Professional		$384.46	$384.46	$384.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.31 / $141.63 / $162.96	Professional		$83.31	$141.63	$162.96
United Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $93.61 / $188.15	Professional		$86.54	$93.61	$188.15