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 / $486.36	Professional		$73.66	$92.66	$486.36
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 $84.26 / $92.09 / $160.63	Professional		$84.26	$92.09	$160.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $199.57 / $356.37	Facility		$96.60	$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 $77.98 / $116.46 / $116.46	Facility		$77.98	$116.46	$116.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $85.02 / $124.16	Professional		$85.02	$85.02	$124.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $55.86 / $185.42	Professional		$46.55	$55.86	$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 $290.17 / $804.26 / $804.26	Facility		$290.17	$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 $355.96 / $355.96 / $355.96	Professional		$355.96	$355.96	$355.96
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 $85.02 / $116.46 / $160.44	Professional		$85.02	$116.46	$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 $46.55 / $79.14 / $134.85	Professional		$46.55	$79.14	$134.85
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $77.09 / $162.58	Professional		$69.89	$77.09	$162.58