Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.51 / $133.51 / $855.18	Facility		$133.51	$133.51	$855.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $133.51 / $855.18	Professional		$99.45	$133.51	$855.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.39 / $417.69 / $940.86	Facility		$101.39	$417.69	$940.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.18 / $135.18 / $262.11	Professional		$135.18	$135.18	$262.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $350.92 / $626.64	Facility		$97.00	$350.92	$626.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $393.28 / $916.05	Professional		$100.00	$393.28	$916.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.63 / $182.31 / $182.31	Facility		$138.63	$182.31	$182.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $133.09 / $187.78	Professional		$133.09	$133.09	$187.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $90.35 / $326.04	Professional		$75.29	$90.35	$326.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.84 / $207.48 / $459.42	Professional		$177.84	$207.48	$459.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $541.78 / $1,170.00 / $1,407.90	Facility		$541.78	$1,170.00	$1,407.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,712.88 / $1,754.01 / $2,223.00	Professional		$1,712.88	$1,754.01	$2,223.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $607.62 / $607.62 / $607.62	Professional		$607.62	$607.62	$607.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $257.47 / $300.39	Facility		$71.59	$257.47	$300.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $182.31 / $224.75	Professional		$133.09	$182.31	$224.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $559.44 / $559.44 / $559.44	Professional		$559.44	$559.44	$559.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $127.99 / $237.12	Professional		$75.29	$127.99	$237.12
United Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $130.25 / $296.39	Professional		$104.39	$130.25	$296.39