Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.65 / $202.65 / $973.47	Facility		$202.65	$202.65	$973.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.42 / $202.65 / $973.47	Professional		$173.42	$202.65	$973.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.94 / $517.23 / $1,071.01	Facility		$153.94	$517.23	$1,071.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.60 / $205.57 / $374.06	Professional		$164.60	$205.57	$374.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $399.46 / $713.32	Facility		$98.20	$399.46	$713.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $447.67 / $1,042.77	Professional		$100.00	$447.67	$1,042.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.94 / $218.27 / $218.27	Facility		$144.94	$218.27	$218.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $159.34 / $224.82	Professional		$159.34	$159.34	$224.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $46.79 / $371.14	Professional		$38.99	$46.79	$371.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $236.18 / $522.97	Professional		$202.44	$236.18	$522.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $684.92 / $1,743.72 / $1,743.72	Facility		$684.92	$1,743.72	$1,743.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,159.38 / $2,159.38 / $3,374.03	Professional		$2,159.38	$2,159.38	$3,374.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $809.09 / $809.09 / $809.09	Professional		$809.09	$809.09	$809.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.67 / $298.30 / $354.27	Facility		$108.67	$298.30	$354.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $218.27 / $337.40	Professional		$159.34	$218.27	$337.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $636.82 / $636.82 / $636.82	Professional		$636.82	$636.82	$636.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $66.28 / $269.92	Professional		$38.99	$66.28	$269.92
United Facility/Professional Professional Modifier Low / Median / High Price $152.84 / $168.32 / $340.41	Professional		$152.84	$168.32	$340.41