Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.97 / $129.97 / $682.13	Facility		$129.97	$129.97	$682.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $129.97 / $682.13	Professional		$112.70	$129.97	$682.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.70 / $358.73 / $750.47	Facility		$98.70	$358.73	$750.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.17 / $131.80 / $225.27	Professional		$118.17	$131.80	$225.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $279.91 / $499.84	Facility		$97.00	$279.91	$499.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $313.69 / $730.68	Professional		$100.00	$313.69	$730.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $187.82	Facility		$135.22	$135.22	$187.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $98.72 / $193.57	Professional		$98.72	$98.72	$193.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $126.38 / $151.66 / $260.06	Professional		$126.38	$151.66	$260.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $165.49 / $366.45	Professional		$141.85	$165.49	$366.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $406.95 / $1,128.10 / $1,128.10	Facility		$406.95	$1,128.10	$1,128.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.95 / $1,219.95 / $1,773.15	Professional		$1,219.95	$1,219.95	$1,773.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $499.35 / $499.35 / $499.35	Professional		$499.35	$499.35	$499.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $213.22 / $243.59	Facility		$69.70	$213.22	$243.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $135.22 / $215.21	Professional		$98.72	$135.22	$215.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $446.23 / $446.23 / $446.23	Professional		$446.23	$446.23	$446.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.38 / $189.14 / $189.57	Professional		$126.38	$189.14	$189.57
United Facility/Professional Professional Modifier Low / Median / High Price $98.03 / $107.97 / $224.95	Professional		$98.03	$107.97	$224.95