Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.46 / $105.46 / $606.35	Facility		$105.46	$105.46	$606.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $105.46 / $606.35	Professional		$79.23	$105.46	$606.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $303.33 / $667.11	Facility		$80.09	$303.33	$667.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.08 / $107.08 / $217.74	Professional		$107.08	$107.08	$217.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $248.82 / $444.32	Facility		$97.00	$248.82	$444.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $278.83 / $649.51	Professional		$100.00	$278.83	$649.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.30 / $113.00 / $113.00	Facility		$98.30	$113.00	$113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $82.49 / $120.47	Professional		$82.49	$82.49	$120.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.33 / $95.20 / $231.18	Professional		$79.33	$95.20	$231.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $147.11 / $325.75	Professional		$126.10	$147.11	$325.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $475.28 / $998.26 / $998.26	Facility		$475.28	$998.26	$998.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.59 / $1,095.59 / $1,577.40	Professional		$1,095.59	$1,095.59	$1,577.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.69 / $436.69 / $436.69	Professional		$436.69	$436.69	$436.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $181.49 / $213.02	Facility		$56.56	$181.49	$213.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $113.00 / $173.38	Professional		$82.49	$113.00	$173.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $396.65 / $396.65 / $396.65	Professional		$396.65	$396.65	$396.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.33 / $134.86 / $168.13	Professional		$79.33	$134.86	$168.13
United Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $101.57 / $210.16	Professional		$82.09	$101.57	$210.16