Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.55 / $121.55 / $778.56	Facility		$121.55	$121.55	$778.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $121.55 / $778.56	Professional		$93.50	$121.55	$778.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.30 / $380.26 / $856.55	Facility		$92.30	$380.26	$856.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $144.94 / $245.66	Professional		$125.00	$144.94	$245.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $319.47 / $570.49	Facility		$97.00	$319.47	$570.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $358.03 / $833.99	Professional		$100.00	$358.03	$833.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.21 / $170.89 / $170.89	Facility		$126.21	$170.89	$170.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $124.75 / $182.19	Professional		$124.75	$124.75	$182.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $125.72 / $296.82	Professional		$104.77	$125.72	$296.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.90 / $188.89 / $418.25	Professional		$161.90	$188.89	$418.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $536.22 / $1,281.74 / $1,281.74	Facility		$536.22	$1,281.74	$1,281.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.55 / $1,359.41 / $1,845.15	Professional		$1,327.55	$1,359.41	$1,845.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $437.75 / $437.75 / $437.75	Professional		$437.75	$437.75	$437.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $221.15 / $269.83	Facility		$65.18	$221.15	$269.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $170.89 / $229.36	Professional		$124.75	$170.89	$229.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $509.31 / $509.31 / $509.31	Professional		$509.31	$509.31	$509.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $178.11 / $215.87	Professional		$104.77	$178.11	$215.87
United Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $118.58 / $269.83	Professional		$95.04	$118.58	$269.83