Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.61 / $122.61 / $785.33	Facility		$122.61	$122.61	$785.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $122.61 / $785.33	Professional		$96.88	$122.61	$785.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $383.57 / $864.01	Facility		$93.11	$383.57	$864.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $123.82 / $224.23	Professional		$117.62	$123.82	$224.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $322.26 / $575.46	Facility		$97.00	$322.26	$575.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $361.16 / $841.26	Professional		$100.00	$361.16	$841.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.31 / $170.15 / $170.15	Facility		$127.31	$170.15	$170.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $124.21 / $181.39	Professional		$124.21	$124.21	$181.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $110.87 / $299.41	Professional		$92.39	$110.87	$299.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $190.53 / $421.89	Professional		$163.31	$190.53	$421.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $489.45 / $1,292.90 / $1,292.90	Facility		$489.45	$1,292.90	$1,292.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,306.51 / $1,306.51 / $2,041.43	Professional		$1,306.51	$1,306.51	$2,041.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $453.62 / $453.62 / $453.62	Professional		$453.62	$453.62	$453.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $225.75 / $272.19	Facility		$65.75	$225.75	$272.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $170.15 / $217.65	Professional		$124.21	$170.15	$217.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $513.74 / $513.74 / $513.74	Professional		$513.74	$513.74	$513.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $157.06 / $217.75	Professional		$92.39	$157.06	$217.75
United Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $122.74 / $272.19	Professional		$95.87	$122.74	$272.19