Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.40 / $146.40 / $884.82	Facility		$146.40	$146.40	$884.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $146.40 / $884.82	Professional		$109.04	$146.40	$884.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.17 / $433.99 / $973.46	Facility		$111.17	$433.99	$973.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.93 / $148.22 / $243.87	Professional		$127.93	$148.22	$243.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $363.06 / $648.30	Facility		$97.00	$363.06	$648.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $406.89 / $947.80	Professional		$100.00	$406.89	$947.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.43 / $184.91 / $184.91	Facility		$143.43	$184.91	$184.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $134.97 / $197.12	Professional		$134.97	$134.97	$197.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $91.84 / $337.34	Professional		$76.53	$91.84	$337.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $214.67 / $475.34	Professional		$184.00	$214.67	$475.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $532.33 / $1,456.68 / $1,456.68	Facility		$532.33	$1,456.68	$1,456.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.02 / $1,472.02 / $1,828.20	Professional		$1,472.02	$1,472.02	$1,828.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $560.01 / $560.01 / $560.01	Professional		$560.01	$560.01	$560.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $266.37 / $306.67	Facility		$78.51	$266.37	$306.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $184.91 / $280.22	Professional		$134.97	$184.91	$280.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $578.82 / $578.82 / $578.82	Professional		$578.82	$578.82	$578.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $130.10 / $245.34	Professional		$76.53	$130.10	$245.34
United Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $136.29 / $291.33	Professional		$115.72	$136.29	$291.33