Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.66 / $92.66 / $486.36	Facility		$92.66	$92.66	$486.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $92.66 / $334.20	Professional		$73.66	$92.66	$334.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $255.76 / $535.05	Facility		$70.37	$255.76	$535.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $93.03 / $160.63	Professional		$84.00	$93.03	$160.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $199.57 / $356.37	Facility		$97.00	$199.57	$356.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $223.65 / $520.98	Professional		$91.10	$223.65	$520.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $104.24 / $127.81	Facility		$78.84	$104.24	$127.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $111.13	Professional		$76.09	$76.09	$111.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $84.14 / $185.42	Professional		$70.12	$84.14	$185.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.14 / $117.99 / $261.27	Professional		$101.14	$117.99	$261.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $271.33 / $804.26 / $804.26	Facility		$271.33	$804.26	$804.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $869.66 / $869.66 / $1,264.20	Professional		$869.66	$869.66	$1,264.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $521.43 / $521.43 / $521.43	Professional		$521.43	$521.43	$521.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $146.43 / $173.64	Facility		$49.69	$146.43	$173.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $104.24 / $160.44	Professional		$76.09	$104.24	$160.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $318.16 / $318.16 / $318.16	Professional		$318.16	$318.16	$318.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $119.20 / $134.85	Professional		$70.12	$119.20	$134.85
United Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $76.97 / $170.07	Professional		$71.17	$76.97	$170.07