Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.06 / $160.06 / $818.37	Facility		$160.06	$160.06	$818.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.66 / $160.06 / $818.37	Professional		$125.66	$160.06	$818.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.55 / $434.82 / $900.36	Facility		$121.55	$434.82	$900.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $175.88 / $302.29	Professional		$158.56	$175.88	$302.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $335.80 / $599.64	Facility		$97.00	$335.80	$599.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $376.34 / $876.62	Professional		$100.00	$376.34	$876.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.66 / $166.52 / $166.52	Facility		$132.66	$166.52	$166.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $177.52	Professional		$121.56	$121.56	$177.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.69 / $96.83 / $312.00	Professional		$80.69	$96.83	$312.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.18 / $198.55 / $439.64	Professional		$170.18	$198.55	$439.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $546.07 / $1,389.02 / $1,389.02	Facility		$546.07	$1,389.02	$1,389.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,758.88 / $1,758.88 / $2,177.10	Professional		$1,758.88	$1,758.88	$2,177.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $546.32 / $546.32 / $546.32	Professional		$546.32	$546.32	$546.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.83 / $250.76 / $297.82	Facility		$85.83	$250.76	$297.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $166.52 / $311.14	Professional		$121.56	$166.52	$311.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $535.35 / $535.35 / $535.35	Professional		$535.35	$535.35	$535.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.69 / $137.16 / $226.91	Professional		$80.69	$137.16	$226.91
United Facility/Professional Professional Modifier Low / Median / High Price $126.52 / $137.09 / $276.05	Professional		$126.52	$137.09	$276.05