Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $860.91	Facility		$134.41	$134.41	$860.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.35 / $134.41 / $860.91	Professional		$99.35	$134.41	$860.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.07 / $420.48 / $947.15	Facility		$102.07	$420.48	$947.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.34 / $136.93 / $236.01	Professional		$123.34	$136.93	$236.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $353.26 / $630.82	Facility		$97.00	$353.26	$630.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $395.91 / $922.21	Professional		$100.00	$395.91	$922.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.56 / $169.96 / $169.96	Facility		$139.56	$169.96	$169.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $285.38	Professional		$124.07	$124.07	$285.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $173.60 / $328.22	Professional		$144.66	$173.60	$328.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.03 / $208.87 / $462.49	Professional		$179.03	$208.87	$462.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $499.75 / $1,197.00 / $1,417.31	Facility		$499.75	$1,197.00	$1,417.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,711.98 / $1,753.07 / $1,753.07	Professional		$1,711.98	$1,753.07	$1,753.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $458.76 / $458.76 / $458.76	Professional		$458.76	$458.76	$458.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.08 / $253.62 / $302.72	Facility		$72.08	$253.62	$302.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $284.19	Professional		$124.07	$124.07	$284.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $563.17 / $563.17 / $563.17	Professional		$563.17	$563.17	$563.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $238.70 / $238.70	Professional		$144.66	$238.70	$238.70
United Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $113.89 / $283.48	Professional		$106.24	$113.89	$283.48