Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.42 / $115.42 / $662.84	Facility		$115.42	$115.42	$662.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.11 / $115.42 / $662.84	Professional		$95.11	$115.42	$662.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $331.59 / $729.23	Facility		$87.65	$331.59	$729.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $117.05 / $178.72	Professional		$93.75	$117.05	$178.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $271.99 / $485.70	Facility		$98.20	$271.99	$485.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $304.81 / $710.02	Professional		$100.00	$304.81	$710.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.39 / $124.31 / $124.31	Facility		$107.39	$124.31	$124.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $222.75	Professional		$90.75	$90.75	$222.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $107.00 / $252.70	Professional		$89.17	$107.00	$252.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $160.81 / $356.08	Professional		$137.84	$160.81	$356.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $390.11 / $1,091.22 / $1,091.22	Facility		$390.11	$1,091.22	$1,091.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.03 / $1,276.03 / $1,780.13	Professional		$1,276.03	$1,276.03	$1,780.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $525.27 / $525.27 / $525.27	Professional		$525.27	$525.27	$525.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.89 / $199.56 / $241.22	Facility		$61.89	$199.56	$241.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $217.45	Professional		$90.75	$90.75	$217.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $433.61 / $433.61 / $433.61	Professional		$433.61	$433.61	$433.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $151.59 / $183.78	Professional		$89.17	$151.59	$183.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $95.87 / $223.59	Professional		$87.05	$95.87	$223.59