Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.86 / $105.86 / $621.51	Facility		$105.86	$105.86	$621.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $105.86 / $621.51	Professional		$87.25	$105.86	$621.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.39 / $310.92 / $683.78	Facility		$80.39	$310.92	$683.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.99 / $107.19 / $163.93	Professional		$85.99	$107.19	$163.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $255.02 / $455.40	Facility		$97.00	$255.02	$455.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $285.81 / $665.76	Professional		$100.00	$285.81	$665.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $110.15 / $115.14	Facility		$100.68	$110.15	$115.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $80.41 / $117.42	Professional		$80.41	$80.41	$117.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $102.65 / $236.95	Professional		$85.54	$102.65	$236.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $150.79 / $333.89	Professional		$129.25	$150.79	$333.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $357.83 / $1,023.20 / $1,023.20	Facility		$357.83	$1,023.20	$1,023.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,163.40 / $1,163.40 / $1,322.03	Professional		$1,163.40	$1,163.40	$1,322.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $481.81 / $481.81 / $481.81	Professional		$481.81	$481.81	$481.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $183.10 / $226.18	Facility		$56.77	$183.10	$226.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $110.14 / $177.49	Professional		$80.41	$110.14	$177.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $406.57 / $406.57 / $406.57	Professional		$406.57	$406.57	$406.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $145.41 / $172.33	Professional		$85.54	$145.41	$172.33
United Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $95.26 / $227.09	Professional		$81.31	$95.26	$227.09