Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.92 / $163.92 / $841.20	Facility		$163.92	$163.92	$841.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $163.92 / $841.20	Professional		$128.12	$163.92	$841.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.48 / $446.95 / $925.47	Facility		$124.48	$446.95	$925.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.01 / $166.74 / $297.01	Professional		$160.01	$166.74	$297.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $345.19 / $616.41	Facility		$97.00	$345.19	$616.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $386.84 / $901.06	Professional		$100.00	$386.84	$901.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.37 / $170.54 / $170.54	Facility		$136.37	$170.54	$170.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $124.49 / $175.66	Professional		$124.49	$124.49	$175.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $133.44 / $320.70	Professional		$111.21	$133.44	$320.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.93 / $204.09 / $451.90	Professional		$174.93	$204.09	$451.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $545.87 / $1,456.51 / $1,456.51	Facility		$545.87	$1,456.51	$1,456.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,746.77 / $1,746.77 / $2,729.33	Professional		$1,746.77	$1,746.77	$2,729.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $592.45 / $592.45 / $592.45	Professional		$592.45	$592.45	$592.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $255.53 / $298.76	Facility		$87.90	$255.53	$298.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $170.54 / $291.55	Professional		$124.49	$170.54	$291.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $550.29 / $550.29 / $550.29	Professional		$550.29	$550.29	$550.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $189.06 / $233.24	Professional		$111.21	$189.06	$233.24
United Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $144.16 / $276.16	Professional		$128.16	$144.16	$276.16