Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.74 / $127.74 / $613.64	Facility		$127.74	$127.74	$613.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $127.74 / $593.92	Professional		$98.70	$127.74	$593.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $326.04 / $675.11	Facility		$97.00	$326.04	$675.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $129.33 / $263.73	Professional		$127.73	$129.33	$263.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $251.81 / $449.65	Facility		$97.00	$251.81	$449.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $282.20 / $657.34	Professional		$100.00	$282.20	$657.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.48 / $150.11 / $150.11	Facility		$99.48	$150.11	$150.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $109.58 / $160.02	Professional		$109.58	$109.58	$160.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $127.68 / $233.95	Professional		$106.40	$127.68	$233.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.61 / $148.88 / $329.65	Professional		$127.61	$148.88	$329.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $371.49 / $1,107.57 / $1,107.57	Facility		$371.49	$1,107.57	$1,107.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.72 / $1,403.72 / $1,595.10	Professional		$1,403.72	$1,403.72	$1,595.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $435.99 / $435.99 / $435.99	Professional		$435.99	$435.99	$435.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $188.04 / $223.31	Facility		$68.50	$188.04	$223.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $150.11 / $248.31	Professional		$109.58	$150.11	$248.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $401.42 / $401.42 / $401.42	Professional		$401.42	$401.42	$401.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $170.14 / $170.14	Professional		$106.40	$170.14	$170.14
United Facility/Professional Professional Modifier Low / Median / High Price $96.34 / $106.10 / $212.69	Professional		$96.34	$106.10	$212.69