Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.24 / $83.24 / $533.16	Facility		$83.24	$83.24	$533.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $83.24 / $533.16	Professional		$60.56	$83.24	$533.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.21 / $260.41 / $586.58	Facility		$63.21	$260.41	$586.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $84.28 / $128.90	Professional		$67.61	$84.28	$128.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $218.77 / $390.66	Facility		$96.60	$218.77	$390.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.87 / $245.19 / $571.13	Professional		$99.87	$245.19	$571.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $89.65 / $98.78	Facility		$86.37	$89.65	$98.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $65.44 / $95.57	Professional		$65.44	$65.44	$95.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $118.54 / $203.27	Professional		$98.78	$118.54	$203.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $129.35 / $286.42	Professional		$110.87	$129.35	$286.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $359.38 / $877.75 / $877.75	Facility		$359.38	$877.75	$877.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.31 / $1,406.25 / $1,406.25	Professional		$1,373.31	$1,406.25	$1,406.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $378.81 / $378.81 / $378.81	Professional		$378.81	$378.81	$378.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.64 / $161.81 / $187.47	Facility		$44.64	$161.81	$187.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $89.65 / $175.89	Professional		$65.44	$89.65	$175.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $348.78 / $348.78 / $348.78	Professional		$348.78	$348.78	$348.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $147.83 / $148.16	Professional		$98.78	$147.83	$148.16
United Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $69.14 / $178.80	Professional		$62.78	$69.14	$178.80