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 $131.38 / $148.22 / $243.87	Professional		$131.38	$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 $159.21 / $159.21 / $271.48	Facility		$159.21	$159.21	$271.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $116.22 / $169.72	Professional		$116.22	$116.22	$169.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $163.92 / $196.70 / $337.34	Professional		$163.92	$196.70	$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 / $273.18 / $310.80	Facility		$78.51	$273.18	$310.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $159.21 / $280.22	Professional		$116.22	$159.21	$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 $163.92 / $245.34 / $245.88	Professional		$163.92	$245.34	$245.88
United Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $144.01 / $298.47	Professional		$114.47	$144.01	$298.47