Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.41 / $104.41 / $547.98	Facility		$104.41	$104.41	$547.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $104.41 / $547.98	Professional		$82.98	$104.41	$547.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.28 / $288.14 / $602.89	Facility		$79.28	$288.14	$602.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $113.80 / $180.97	Professional		$94.93	$113.80	$180.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.65 / $224.86 / $401.53	Facility		$96.65	$224.86	$401.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $252.01 / $587.01	Professional		$100.00	$252.01	$587.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $150.88	Facility		$129.63	$129.63	$150.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $134.37	Professional		$94.64	$94.64	$134.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $189.93 / $227.92	Professional		$151.94	$189.93	$227.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $132.94 / $288.69	Professional		$94.97	$132.94	$288.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $326.91 / $906.14 / $906.14	Facility		$326.91	$906.14	$906.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $979.57 / $979.57 / $1,424.48	Professional		$979.57	$979.57	$1,424.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $400.98 / $400.98 / $400.98	Professional		$400.98	$400.98	$400.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $167.91 / $195.60	Facility		$55.99	$167.91	$195.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $185.48	Professional		$94.64	$94.64	$185.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $358.47 / $358.47 / $358.47	Professional		$358.47	$358.47	$358.47
United Facility/Professional Professional Modifier Low / Median / High Price $82.52 / $93.94 / $259.58	Professional		$82.52	$93.94	$259.58