Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.57 / $86.57 / $528.62	Facility		$86.57	$86.57	$528.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $86.57 / $528.62	Professional		$65.56	$86.57	$528.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $258.17 / $581.53	Facility		$65.73	$258.17	$581.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $87.33 / $134.05	Professional		$70.31	$87.33	$134.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $216.91 / $387.34	Facility		$96.60	$216.91	$387.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.02 / $243.09 / $566.23	Professional		$99.02	$243.09	$566.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.69 / $90.07 / $97.94	Facility		$85.69	$90.07	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $65.75 / $96.02	Professional		$65.75	$65.75	$96.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.51 / $75.01 / $201.52	Professional		$62.51	$75.01	$201.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $128.24 / $283.95	Professional		$109.92	$128.24	$283.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $292.60 / $870.20 / $870.20	Facility		$292.60	$870.20	$870.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $879.36 / $879.36 / $1,223.55	Professional		$879.36	$879.36	$1,223.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $306.98 / $306.98 / $306.98	Professional		$306.98	$306.98	$306.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $153.03 / $183.20	Facility		$46.42	$153.03	$183.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $90.07 / $140.76	Professional		$65.75	$90.07	$140.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $345.81 / $345.81 / $345.81	Professional		$345.81	$345.81	$345.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.51 / $106.27 / $146.56	Professional		$62.51	$106.27	$146.56
United Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $86.66 / $245.13	Professional		$68.43	$86.66	$245.13