Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $866.08	Facility		$135.22	$135.22	$866.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $135.22 / $866.08	Professional		$100.72	$135.22	$866.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.68 / $423.01 / $952.86	Facility		$102.68	$423.01	$952.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $136.91 / $254.65	Professional		$136.91	$136.91	$254.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $355.39 / $634.62	Facility		$97.00	$355.39	$634.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $398.29 / $927.77	Professional		$100.00	$398.29	$927.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.40 / $194.51 / $194.51	Facility		$140.40	$194.51	$194.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $141.99 / $207.36	Professional		$141.99	$141.99	$207.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $81.47 / $330.20	Professional		$67.89	$81.47	$330.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.11 / $210.13 / $465.28	Professional		$180.11	$210.13	$465.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $521.72 / $1,187.13 / $1,425.86	Facility		$521.72	$1,187.13	$1,425.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,649.25 / $1,688.85 / $2,251.35	Professional		$1,649.25	$1,688.85	$2,251.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $615.36 / $615.36	Professional		$615.36	$615.36	$615.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.51 / $260.74 / $304.55	Facility		$72.51	$260.74	$304.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $194.51 / $238.23	Professional		$141.99	$194.51	$238.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $566.55 / $566.55 / $566.55	Professional		$566.55	$566.55	$566.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $115.41 / $240.14	Professional		$67.89	$115.41	$240.14
United Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $131.91 / $285.18	Professional		$105.73	$131.91	$285.18