Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.71 / $153.71 / $984.58	Facility		$153.71	$153.71	$984.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.77 / $153.71 / $984.58	Professional		$118.77	$153.71	$984.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.72 / $480.88 / $1,083.20	Facility		$116.72	$480.88	$1,083.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.87 / $155.87 / $314.98	Professional		$155.87	$155.87	$314.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $404.00 / $721.43	Facility		$97.00	$404.00	$721.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $452.77 / $1,054.64	Professional		$100.00	$452.77	$1,054.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.49 / $159.91 / $182.41	Facility		$159.49	$159.91	$182.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $392.63	Professional		$116.74	$116.74	$392.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $147.53 / $177.04 / $375.36	Professional		$147.53	$177.04	$375.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.74 / $238.87 / $528.91	Professional		$204.74	$238.87	$528.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $590.64 / $1,620.89 / $1,620.89	Facility		$590.64	$1,620.89	$1,620.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,867.14 / $1,911.96 / $1,919.48	Professional		$1,867.14	$1,911.96	$1,919.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $524.65 / $524.65 / $524.65	Professional		$524.65	$524.65	$524.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.43 / $273.61 / $346.21	Facility		$82.43	$273.61	$346.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $299.64	Professional		$116.74	$116.74	$299.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $644.08 / $644.08 / $644.08	Professional		$644.08	$644.08	$644.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.53 / $250.80 / $272.99	Professional		$147.53	$250.80	$272.99
United Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $127.68 / $341.24	Professional		$118.05	$127.68	$341.24