Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.74 / $120.74 / $740.36	Facility		$120.74	$120.74	$740.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $120.74 / $177.03	Professional		$104.68	$120.74	$177.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.69 / $361.60 / $814.53	Facility		$91.69	$361.60	$814.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $122.25 / $212.63	Professional		$114.54	$122.25	$212.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $303.81 / $542.52	Facility		$97.00	$303.81	$542.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $340.47 / $793.08	Professional		$100.00	$340.47	$793.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $217.49	Facility		$125.61	$125.61	$217.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $91.70 / $193.98	Professional		$91.70	$91.70	$193.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $176.33 / $282.26	Professional		$146.94	$176.33	$282.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.96 / $179.62 / $397.73	Professional		$153.96	$179.62	$397.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $384.10 / $1,218.84 / $1,218.84	Facility		$384.10	$1,218.84	$1,218.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.68 / $1,231.68 / $1,578.83	Professional		$1,231.68	$1,231.68	$1,578.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $464.22 / $464.22 / $464.22	Professional		$464.22	$464.22	$464.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $226.45 / $260.08	Facility		$64.75	$226.45	$260.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $153.47 / $210.22	Professional		$91.70	$153.47	$210.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $484.32 / $484.32 / $484.32	Professional		$484.32	$484.32	$484.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $205.28 / $220.41	Professional		$146.94	$205.28	$220.41
United Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $100.29 / $231.71	Professional		$92.72	$100.29	$231.71