Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.46 / $134.46 / $753.79	Facility		$134.46	$134.46	$753.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $134.46 / $753.79	Professional		$98.82	$134.46	$753.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.56 / $377.09 / $829.29	Facility		$102.56	$377.09	$829.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.31 / $137.37 / $228.91	Professional		$123.31	$137.37	$228.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $309.29 / $552.30	Facility		$97.00	$309.29	$552.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $346.63 / $807.43	Professional		$100.00	$346.63	$807.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.19 / $159.22 / $159.22	Facility		$122.19	$159.22	$159.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $116.23 / $169.73	Professional		$116.23	$116.23	$169.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $96.51 / $115.81 / $287.38	Professional		$96.51	$115.81	$287.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $182.88 / $404.94	Professional		$156.75	$182.88	$404.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $499.66 / $1,240.94 / $1,240.94	Facility		$499.66	$1,240.94	$1,240.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,477.62 / $1,477.62 / $1,679.10	Professional		$1,477.62	$1,477.62	$1,679.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $611.94 / $611.94 / $611.94	Professional		$611.94	$611.94	$611.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.11 / $222.06 / $274.31	Facility		$72.11	$222.06	$274.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $159.22 / $228.65	Professional		$116.23	$159.22	$228.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $493.11 / $493.11 / $493.11	Professional		$493.11	$493.11	$493.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.51 / $164.07 / $209.00	Professional		$96.51	$164.07	$209.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $117.02 / $248.58	Professional		$103.27	$117.02	$248.58