Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.99 / $90.99 / $481.88	Facility		$90.99	$90.99	$481.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $90.99 / $481.88	Professional		$70.84	$90.99	$481.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $251.14 / $530.14	Facility		$69.09	$251.14	$530.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.22 / $92.70 / $173.92	Professional		$91.22	$92.70	$173.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $197.74 / $353.10	Facility		$96.60	$197.74	$353.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $90.27 / $221.60 / $516.19	Professional		$90.27	$221.60	$516.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $132.63 / $132.63	Facility		$78.12	$132.63	$132.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $136.62	Professional		$96.83	$96.83	$136.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $73.31 / $183.71	Professional		$61.09	$73.31	$183.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $116.91 / $258.87	Professional		$100.21	$116.91	$258.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $315.64 / $797.99 / $797.99	Facility		$315.64	$797.99	$797.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $821.86 / $841.55 / $1,143.68	Professional		$821.86	$841.55	$1,143.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $312.93 / $312.93 / $312.93	Professional		$312.93	$312.93	$312.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $145.08 / $169.28	Facility		$48.80	$145.08	$169.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $125.98 / $144.21	Professional		$96.83	$125.98	$144.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $315.23 / $315.23 / $315.23	Professional		$315.23	$315.23	$315.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $103.85 / $133.61	Professional		$61.09	$103.85	$133.61
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $75.59 / $168.50	Professional		$69.89	$75.59	$168.50