Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.78 / $130.78 / $837.66	Facility		$130.78	$130.78	$837.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.41 / $130.78 / $837.66	Professional		$97.41	$130.78	$837.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.31 / $409.12 / $921.56	Facility		$99.31	$409.12	$921.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $132.08 / $202.50	Professional		$109.09	$132.08	$202.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $343.71 / $613.77	Facility		$98.20	$343.71	$613.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $385.22 / $897.28	Professional		$100.00	$385.22	$897.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.79 / $140.85 / $155.18	Facility		$135.79	$140.85	$155.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $252.38	Professional		$102.82	$102.82	$252.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $126.62 / $319.35	Professional		$105.52	$126.62	$319.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.19 / $203.22 / $450.00	Professional		$174.19	$203.22	$450.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $442.01 / $1,167.33 / $1,379.02	Facility		$442.01	$1,167.33	$1,379.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.88 / $1,551.24 / $1,633.05	Professional		$1,514.88	$1,551.24	$1,633.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $595.15 / $595.15 / $595.15	Professional		$595.15	$595.15	$595.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $253.22 / $292.83	Facility		$70.13	$253.22	$292.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $278.54	Professional		$102.82	$102.82	$278.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $547.97 / $547.97 / $547.97	Professional		$547.97	$547.97	$547.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $179.38 / $232.26	Professional		$105.52	$179.38	$232.26
United Facility/Professional Professional Modifier Low / Median / High Price $103.37 / $127.58 / $269.33	Professional		$103.37	$127.58	$269.33