Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.01 / $96.01 / $614.95	Facility		$96.01	$96.01	$614.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $96.01 / $614.95	Professional		$69.98	$96.01	$614.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.91 / $300.36 / $676.57	Facility		$72.91	$300.36	$676.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $97.21 / $166.80	Professional		$87.50	$97.21	$166.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $252.33 / $450.59	Facility		$97.00	$252.33	$450.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $282.80 / $658.71	Professional		$100.00	$282.80	$658.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.69 / $113.25 / $113.93	Facility		$99.69	$113.25	$113.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $82.67 / $120.73	Professional		$82.67	$82.67	$120.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $136.72 / $234.45	Professional		$113.93	$136.72	$234.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $149.19 / $330.37	Professional		$127.88	$149.19	$330.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $357.58 / $862.15 / $1,012.42	Facility		$357.58	$862.15	$1,012.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.40 / $1,157.54 / $1,589.78	Professional		$1,130.40	$1,157.54	$1,589.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $327.69 / $327.69 / $327.69	Professional		$327.69	$327.69	$327.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $170.89 / $218.50	Facility		$51.48	$170.89	$218.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $113.25 / $172.06	Professional		$82.67	$113.25	$172.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $402.28 / $402.28 / $402.28	Professional		$402.28	$402.28	$402.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $170.51 / $170.90	Professional		$113.93	$170.51	$170.90
United Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $96.10 / $224.70	Professional		$75.89	$96.10	$224.70