Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.56 / $117.56 / $752.99	Facility		$117.56	$117.56	$752.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $117.56 / $752.99	Professional		$93.15	$117.56	$752.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.27 / $367.77 / $828.43	Facility		$89.27	$367.77	$828.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $120.12 / $182.03	Professional		$98.06	$120.12	$182.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $308.99 / $551.76	Facility		$97.00	$308.99	$551.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $346.27 / $806.58	Professional		$100.00	$346.27	$806.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.07 / $122.31 / $139.50	Facility		$122.07	$122.31	$139.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $89.29 / $130.38	Professional		$89.29	$89.29	$130.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $113.40 / $287.08	Professional		$94.50	$113.40	$287.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $182.69 / $404.52	Professional		$156.59	$182.69	$404.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $397.33 / $1,239.66 / $1,239.66	Facility		$397.33	$1,239.66	$1,239.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.84 / $1,291.84 / $1,707.45	Professional		$1,291.84	$1,291.84	$1,707.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $535.00 / $535.00	Professional		$535.00	$535.00	$535.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $217.98 / $260.98	Facility		$63.04	$217.98	$260.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $191.31	Professional		$89.29	$122.31	$191.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $492.59 / $492.59 / $492.59	Professional		$492.59	$492.59	$492.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $160.65 / $208.78	Professional		$94.50	$160.65	$208.78
United Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $117.68 / $252.52	Professional		$91.92	$117.68	$252.52