Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $559.99	Facility		$87.42	$87.42	$559.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $87.42 / $541.98	Professional		$68.93	$87.42	$541.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $273.50 / $616.07	Facility		$66.39	$273.50	$616.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $88.15 / $140.24	Professional		$75.54	$88.15	$140.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $229.77 / $410.30	Facility		$97.00	$229.77	$410.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $257.51 / $599.84	Professional		$100.00	$257.51	$599.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.78 / $97.54 / $103.74	Facility		$90.78	$97.54	$103.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $103.98	Professional		$71.20	$71.20	$103.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $93.26 / $213.49	Professional		$77.72	$93.26	$213.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $135.86 / $300.82	Professional		$116.45	$135.86	$300.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $306.12 / $771.31 / $921.88	Facility		$306.12	$771.31	$921.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $996.17 / $1,020.06 / $1,313.25	Professional		$996.17	$1,020.06	$1,313.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $322.73 / $322.73 / $322.73	Professional		$322.73	$322.73	$322.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $158.34 / $194.08	Facility		$46.88	$158.34	$194.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $97.54 / $168.65	Professional		$71.20	$97.54	$168.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $366.33 / $366.33 / $366.33	Professional		$366.33	$366.33	$366.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $132.12 / $155.26	Professional		$77.72	$132.12	$155.26
United Facility/Professional Professional Modifier Low / Median / High Price $68.36 / $83.12 / $194.08	Professional		$68.36	$83.12	$194.08