Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.82 / $83.82 / $402.66	Facility		$83.82	$83.82	$402.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $83.82 / $402.66	Professional		$63.12	$83.82	$402.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.65 / $213.95 / $443.01	Facility		$63.65	$213.95	$443.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $81.72 / $154.72	Professional		$68.00	$81.72	$154.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $165.23 / $295.05	Facility		$96.60	$165.23	$295.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $185.17 / $431.32	Professional		$75.43	$185.17	$431.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $90.28 / $90.28	Facility		$65.23	$90.28	$90.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $65.90 / $92.99	Professional		$65.90	$65.90	$92.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $48.10 / $153.52	Professional		$40.08	$48.10	$153.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $97.69 / $216.32	Professional		$83.74	$97.69	$216.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $283.31 / $703.87 / $703.87	Facility		$283.31	$703.87	$703.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.20 / $831.20 / $1,046.70	Professional		$831.20	$831.20	$1,046.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $344.23 / $344.23 / $344.23	Professional		$344.23	$344.23	$344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $123.38 / $146.54	Facility		$44.95	$123.38	$146.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $90.28 / $132.83	Professional		$65.90	$90.28	$132.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $263.41 / $263.41 / $263.41	Professional		$263.41	$263.41	$263.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $68.14 / $111.65	Professional		$40.08	$68.14	$111.65
United Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $69.62 / $132.58	Professional		$63.22	$69.62	$132.58