Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $139.22 / $891.76	Facility		$139.22	$139.22	$891.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $139.22 / $204.12	Professional		$117.37	$139.22	$204.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.72 / $435.54 / $981.08	Facility		$105.72	$435.54	$981.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $139.22 / $216.16	Professional		$113.37	$139.22	$216.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $365.90 / $653.40	Facility		$97.00	$365.90	$653.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $410.09 / $955.22	Professional		$100.00	$410.09	$955.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.46 / $144.84 / $165.20	Facility		$144.46	$144.84	$165.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $269.63	Professional		$105.73	$105.73	$269.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $111.72 / $339.98	Professional		$93.10	$111.72	$339.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $216.35 / $479.06	Professional		$185.44	$216.35	$479.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $471.83 / $1,468.08 / $1,468.08	Facility		$471.83	$1,468.08	$1,468.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,483.54 / $1,483.54 / $2,080.88	Professional		$1,483.54	$1,483.54	$2,080.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $518.48 / $518.48 / $518.48	Professional		$518.48	$518.48	$518.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.66 / $253.86 / $309.07	Facility		$74.66	$253.86	$309.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $289.19	Professional		$105.73	$105.73	$289.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $583.36 / $583.36 / $583.36	Professional		$583.36	$583.36	$583.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $158.27 / $247.26	Professional		$93.10	$158.27	$247.26
United Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $115.64 / $309.07	Professional		$105.00	$115.64	$309.07