Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $107.77 / $397.77	Facility		$106.70	$107.77	$397.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $107.76 / $534.12	Professional		$106.70	$107.76	$534.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.26 / $94.61 / $114.44	Facility		$80.26	$94.61	$114.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $106.70 / $282.75	Professional		$89.18	$106.70	$282.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $86.25 / $86.25 / $86.25	Facility		$86.25	$86.25	$86.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $100.00	Professional		$40.00	$40.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $100.66 / $106.70	Facility		$100.66	$100.66	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $270.47	Professional		$106.70	$106.70	$270.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $136.85 / $184.75	Professional		$131.41	$136.85	$184.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.76 / $133.38 / $241.80	Professional		$99.76	$133.38	$241.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $479.40 / $604.19 / $604.19	Facility		$479.40	$604.19	$604.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,448.75 / $1,448.75 / $1,448.75	Professional		$1,448.75	$1,448.75	$1,448.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $280.54 / $280.54 / $280.54	Professional		$280.54	$280.54	$280.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $112.04 / $189.34	Facility		$106.70	$112.04	$189.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $264.48	Professional		$106.70	$106.70	$264.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $131.41 / $157.69	Professional		$85.36	$131.41	$157.69
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $260.06	Professional		$106.70	$106.70	$260.06