Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.89 / $105.89 / $615.34	Facility		$105.89	$105.89	$615.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $105.89 / $615.34	Professional		$87.26	$105.89	$615.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.42 / $307.83 / $676.98	Facility		$80.42	$307.83	$676.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $107.22 / $163.95	Professional		$86.00	$107.22	$163.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $252.51 / $450.92	Facility		$97.00	$252.51	$450.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $282.97 / $659.12	Professional		$100.00	$282.97	$659.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.70 / $110.16 / $114.02	Facility		$99.70	$110.16	$114.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $113.46	Professional		$80.42	$80.42	$113.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $93.97 / $234.60	Professional		$78.31	$93.97	$234.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.96 / $149.29 / $330.57	Professional		$127.96	$149.29	$330.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $357.87 / $1,013.03 / $1,013.03	Facility		$357.87	$1,013.03	$1,013.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.59 / $1,170.59 / $1,654.73	Professional		$1,170.59	$1,170.59	$1,654.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $481.87 / $481.87 / $481.87	Professional		$481.87	$481.87	$481.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $181.28 / $223.93	Facility		$56.78	$181.28	$223.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $110.16 / $172.16	Professional		$80.42	$110.16	$172.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $402.53 / $402.53 / $402.53	Professional		$402.53	$402.53	$402.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $133.13 / $170.62	Professional		$78.31	$133.13	$170.62
United Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $87.95 / $207.56	Professional		$81.31	$87.95	$207.56