Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.01 / $116.01 / $608.71	Facility		$116.01	$116.01	$608.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.81 / $116.01 / $608.71	Professional		$91.81	$116.01	$608.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.76 / $336.97 / $725.33	Facility		$127.76	$336.97	$725.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $170.35 / $201.03	Professional		$59.50	$170.35	$201.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $249.77 / $446.02	Facility		$97.00	$249.77	$446.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $279.92 / $652.04	Professional		$100.00	$279.92	$652.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.60 / $171.65 / $171.65	Facility		$167.60	$171.65	$171.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $145.90 / $176.80	Professional		$145.90	$145.90	$176.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.77 / $210.96 / $253.15	Professional		$168.77	$210.96	$253.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $147.66 / $326.99	Professional		$126.58	$147.66	$326.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.15 / $1,006.76 / $1,006.76	Facility		$363.15	$1,006.76	$1,006.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.36 / $1,090.36 / $1,582.20	Professional		$1,090.36	$1,090.36	$1,582.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $445.46 / $445.46 / $445.46	Professional		$445.46	$445.46	$445.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $210.96 / $217.30	Facility		$141.47	$210.96	$217.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $171.65 / $200.80	Professional		$145.90	$171.65	$200.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $398.20 / $398.20 / $398.20	Professional		$398.20	$398.20	$398.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.77 / $168.77 / $168.77	Professional		$168.77	$168.77	$168.77
United Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $105.25 / $205.33	Professional		$90.70	$105.25	$205.33