Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.55 / $232.78 / $6,493.48	Facility		$109.55	$232.78	$6,493.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $112.85 / $1,473.69	Professional		$108.47	$112.85	$1,473.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.98 / $173.26 / $388.39	Facility		$113.98	$173.26	$388.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $109.28 / $533.71	Professional		$108.47	$109.28	$533.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $192.09	Facility		$77.09	$100.00	$192.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $110.51 / $110.51 / $332.75	Professional		$110.51	$110.51	$332.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $108.47	Facility		$102.33	$102.33	$108.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $162.46	Professional		$108.47	$108.47	$162.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $150.41 / $183.66	Professional		$136.05	$150.41	$183.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $130.16 / $276.60	Professional		$97.62	$130.16	$276.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $531.50 / $1,578.65 / $1,578.65	Facility		$531.50	$1,578.65	$1,578.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.40 / $1,698.40 / $1,698.40	Professional		$1,698.40	$1,698.40	$1,698.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $278.90 / $278.90	Professional		$60.00	$278.90	$278.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $114.98 / $192.20	Facility		$108.47	$114.98	$192.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $191.83	Professional		$108.47	$108.47	$191.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $716.70 / $716.70 / $716.70	Professional		$716.70	$716.70	$716.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $108.47 / $162.69	Professional		$86.77	$108.47	$162.69
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $212.95	Professional		$108.47	$108.47	$212.95