Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.23 / $125.23 / $634.41	Facility		$125.23	$125.23	$634.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.99 / $125.23 / $634.41	Professional		$95.99	$125.23	$634.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $337.08 / $697.97	Facility		$95.10	$337.08	$697.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.80 / $137.44 / $240.53	Professional		$126.80	$137.44	$240.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $260.33 / $464.89	Facility		$97.00	$260.33	$464.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $291.75 / $679.60	Professional		$100.00	$291.75	$679.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $175.58 / $175.58	Facility		$102.85	$175.58	$175.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $128.16 / $187.18	Professional		$128.16	$128.16	$187.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $85.46 / $241.87	Professional		$71.22	$85.46	$241.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.93 / $153.91 / $340.81	Professional		$131.93	$153.91	$340.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $434.50 / $1,083.05 / $1,083.05	Facility		$434.50	$1,083.05	$1,083.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,269.72 / $1,269.72 / $1,654.35	Professional		$1,269.72	$1,269.72	$1,654.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $477.71 / $477.71 / $477.71	Professional		$477.71	$477.71	$477.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $194.41 / $230.87	Facility		$67.15	$194.41	$230.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $175.58 / $224.61	Professional		$128.16	$175.58	$224.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $415.02 / $415.02 / $415.02	Professional		$415.02	$415.02	$415.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $121.07 / $175.90	Professional		$71.22	$121.07	$175.90
United Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $108.72 / $219.88	Professional		$97.91	$108.72	$219.88