Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $83.30 / $533.54	Facility		$83.30	$83.30	$533.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $83.30 / $533.54	Professional		$60.60	$83.30	$533.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.26 / $260.60 / $587.02	Facility		$63.26	$260.60	$587.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $81.20 / $144.61	Professional		$75.84	$81.20	$144.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $218.93 / $390.94	Facility		$96.60	$218.93	$390.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $245.37 / $571.54	Professional		$99.94	$245.37	$571.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.44 / $86.66 / $98.85	Facility		$86.44	$86.66	$98.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $89.26	Professional		$63.26	$63.26	$89.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $99.43 / $203.42	Professional		$82.86	$99.43	$203.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.96 / $129.44 / $286.64	Professional		$110.96	$129.44	$286.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $310.20 / $878.42 / $878.42	Facility		$310.20	$878.42	$878.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $980.55 / $1,004.09 / $1,040.25	Professional		$980.55	$1,004.09	$1,040.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $379.10 / $379.10 / $379.10	Professional		$379.10	$379.10	$379.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $159.82 / $187.61	Facility		$44.67	$159.82	$187.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $86.66 / $137.88	Professional		$63.26	$86.66	$137.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $349.03 / $349.03 / $349.03	Professional		$349.03	$349.03	$349.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $140.86 / $147.94	Professional		$82.86	$140.86	$147.94
United Facility/Professional Professional Modifier Low / Median / High Price $63.97 / $69.19 / $186.57	Professional		$63.97	$69.19	$186.57