Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $163.66 / $859.03	Facility		$163.66	$163.66	$859.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $163.66 / $859.03	Professional		$130.96	$163.66	$859.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.29 / $451.73 / $945.12	Facility		$124.29	$451.73	$945.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.83 / $164.70 / $283.72	Professional		$148.83	$164.70	$283.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $352.48 / $629.41	Facility		$97.00	$352.48	$629.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $395.05 / $920.20	Professional		$100.00	$395.05	$920.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.26 / $170.29 / $236.52	Facility		$139.26	$170.29	$236.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $144.75 / $175.40	Professional		$144.75	$144.75	$175.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $190.98 / $327.51	Professional		$159.15	$190.98	$327.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $208.42 / $461.50	Professional		$178.64	$208.42	$461.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $512.52 / $1,420.57 / $1,420.57	Facility		$512.52	$1,420.57	$1,420.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,535.78 / $1,535.78 / $2,233.05	Professional		$1,535.78	$1,535.78	$2,233.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $628.73 / $628.73 / $628.73	Professional		$628.73	$628.73	$628.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $260.70 / $306.70	Facility		$87.77	$260.70	$306.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $170.29 / $283.39	Professional		$144.75	$170.29	$283.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $561.96 / $561.96 / $561.96	Professional		$561.96	$561.96	$561.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $238.19 / $238.73	Professional		$159.15	$238.19	$238.73
United Facility/Professional Professional Modifier Low / Median / High Price $127.97 / $147.21 / $287.16	Professional		$127.97	$147.21	$287.16