Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.96 / $138.96 / $890.09	Facility		$138.96	$138.96	$890.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $138.96 / $890.09	Professional		$101.10	$138.96	$890.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.53 / $434.75 / $979.30	Facility		$105.53	$434.75	$979.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.36 / $137.22 / $238.99	Professional		$125.36	$137.22	$238.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $365.24 / $652.22	Facility		$97.00	$365.24	$652.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $409.33 / $953.48	Professional		$100.00	$409.33	$953.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $166.23 / $166.23	Facility		$144.19	$166.23	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $177.21	Professional		$121.35	$121.35	$177.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $146.90 / $339.36	Professional		$122.42	$146.90	$339.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $215.96 / $478.19	Professional		$185.11	$215.96	$478.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $557.69 / $1,465.42 / $1,465.42	Facility		$557.69	$1,465.42	$1,465.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,131.11 / $2,182.28 / $2,182.28	Professional		$2,131.11	$2,182.28	$2,182.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $632.44 / $632.44 / $632.44	Professional		$632.44	$632.44	$632.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $262.23 / $312.98	Facility		$74.52	$262.23	$312.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $166.23 / $261.74	Professional		$121.35	$166.23	$261.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $582.27 / $582.27 / $582.27	Professional		$582.27	$582.27	$582.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $208.11 / $246.81	Professional		$122.42	$208.11	$246.81
United Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $117.46 / $311.25	Professional		$106.72	$117.46	$311.25