Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.86 / $101.86 / $489.37	Facility		$101.86	$101.86	$489.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $101.86 / $489.37	Professional		$78.72	$101.86	$489.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.36 / $260.01 / $538.39	Facility		$77.36	$260.01	$538.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.98 / $99.32 / $172.61	Professional		$92.98	$99.32	$172.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $200.80 / $358.57	Facility		$96.60	$200.80	$358.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $225.05 / $524.20	Professional		$91.67	$225.05	$524.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $120.06 / $120.06	Facility		$79.27	$120.06	$120.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $127.99	Professional		$87.64	$87.64	$127.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $73.58 / $186.57	Professional		$61.32	$73.58	$186.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.77 / $118.73 / $262.89	Professional		$101.77	$118.73	$262.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $322.18 / $878.76 / $878.76	Facility		$322.18	$878.76	$878.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.39 / $1,011.39 / $1,398.75	Professional		$1,011.39	$1,011.39	$1,398.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $347.70 / $347.70 / $347.70	Professional		$347.70	$347.70	$347.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.63 / $149.94 / $176.02	Facility		$54.63	$149.94	$176.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $120.06 / $178.16	Professional		$87.64	$120.06	$178.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $320.13 / $320.13 / $320.13	Professional		$320.13	$320.13	$320.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $104.24 / $135.69	Professional		$61.32	$104.24	$135.69
United Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $84.62 / $171.13	Professional		$76.83	$84.62	$171.13