Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.98 / $219.75 / $991.87	Facility		$188.98	$219.75	$991.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $188.98 / $774.00	Professional		$164.32	$188.98	$774.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.51 / $521.59 / $1,091.26	Facility		$143.51	$521.59	$1,091.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.81 / $191.64 / $327.58	Professional		$171.81	$191.64	$327.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $407.01 / $726.80	Facility		$97.00	$407.01	$726.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $456.13 / $1,062.47	Professional		$100.00	$456.13	$1,062.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $273.10	Facility		$212.98	$212.98	$273.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $155.47 / $298.63	Professional		$155.47	$155.47	$298.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $220.52 / $378.16	Professional		$183.77	$220.52	$378.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.27 / $240.65 / $532.86	Professional		$206.27	$240.65	$532.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $591.76 / $1,640.11 / $1,640.11	Facility		$591.76	$1,640.11	$1,640.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,773.08 / $1,773.08 / $2,578.35	Professional		$1,773.08	$1,773.08	$2,578.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $725.82 / $725.82 / $725.82	Professional		$725.82	$725.82	$725.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $310.02 / $354.06	Facility		$101.34	$310.02	$354.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $212.98 / $327.20	Professional		$155.47	$212.98	$327.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $648.85 / $648.85 / $648.85	Professional		$648.85	$648.85	$648.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $275.02 / $275.66	Professional		$183.77	$275.02	$275.66
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $156.97 / $327.08	Professional		$145.13	$156.97	$327.08