Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.54 / $1,401.28 / $4,325.45	Facility		$142.54	$1,401.28	$4,325.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $142.54 / $788.49	Professional		$117.99	$142.54	$788.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.82 / $125.04 / $330.60	Facility		$103.82	$125.04	$330.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $142.54 / $301.19	Professional		$99.18	$142.54	$301.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $362.59 / $844.60	Professional		$100.00	$362.59	$844.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.27 / $195.78 / $195.78	Facility		$136.27	$195.78	$195.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $287.25	Professional		$166.41	$166.41	$287.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $146.09 / $175.31 / $300.60	Professional		$146.09	$175.31	$300.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $191.29 / $431.77	Professional		$163.96	$191.29	$431.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $503.28 / $1,298.03 / $1,298.03	Facility		$503.28	$1,298.03	$1,298.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.05 / $1,327.05 / $1,935.98	Professional		$1,327.05	$1,327.05	$1,935.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $541.42 / $541.42 / $541.42	Professional		$541.42	$541.42	$541.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.44 / $241.60 / $273.27	Facility		$76.44	$241.60	$273.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $261.81	Professional		$166.41	$166.41	$261.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $515.80 / $515.80 / $515.80	Professional		$515.80	$515.80	$515.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.09 / $218.62 / $219.14	Professional		$146.09	$218.62	$219.14
United Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $131.76 / $265.97	Professional		$111.80	$131.76	$265.97