Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.97 / $126.97 / $813.26	Facility		$126.97	$126.97	$813.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $126.97 / $813.26	Professional		$94.57	$126.97	$813.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $397.21 / $894.74	Facility		$96.42	$397.21	$894.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.89 / $126.97 / $231.82	Professional		$124.89	$126.97	$231.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $333.70 / $595.90	Facility		$98.20	$333.70	$595.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $374.00 / $871.16	Professional		$100.00	$374.00	$871.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $166.47 / $166.47	Facility		$131.83	$166.47	$166.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $121.52 / $177.47	Professional		$121.52	$121.52	$177.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $138.10 / $310.06	Professional		$115.08	$138.10	$310.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.12 / $197.31 / $436.90	Professional		$169.12	$197.31	$436.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $506.02 / $1,338.88 / $1,338.88	Facility		$506.02	$1,338.88	$1,338.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.98 / $1,354.14 / $1,819.05	Professional		$1,352.98	$1,354.14	$1,819.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $544.35 / $544.35 / $544.35	Professional		$544.35	$544.35	$544.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $243.59 / $281.87	Facility		$68.09	$243.59	$281.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $166.47 / $221.48	Professional		$121.52	$166.47	$221.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $532.01 / $532.01 / $532.01	Professional		$532.01	$532.01	$532.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $195.64 / $225.50	Professional		$115.08	$195.64	$225.50
United Facility/Professional Professional Modifier Low / Median / High Price $99.28 / $123.87 / $268.19	Professional		$99.28	$123.87	$268.19