Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $133.22 / $404.53	Facility		$131.90	$133.22	$404.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $133.22 / $404.53	Professional		$131.90	$133.22	$404.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $165.77 / $280.48	Facility		$139.22	$165.77	$280.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $154.99 / $381.79	Professional		$131.90	$154.99	$381.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $133.59 / $274.98	Professional		$93.51	$133.59	$274.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $124.43 / $131.90	Facility		$124.43	$124.43	$131.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $161.76	Professional		$131.90	$131.90	$161.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $158.79 / $194.88	Professional		$144.36	$158.79	$194.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.33 / $164.88 / $298.91	Professional		$123.33	$164.88	$298.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $382.50 / $637.37 / $637.37	Facility		$382.50	$637.37	$637.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,287.69 / $2,287.69 / $2,287.69	Professional		$2,287.69	$2,287.69	$2,287.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.79 / $295.93 / $295.93	Professional		$158.79	$295.93	$295.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $145.09 / $224.76	Facility		$131.90	$145.09	$224.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $188.91	Professional		$131.90	$131.90	$188.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $264.64 / $264.64	Professional		$264.64	$264.64	$264.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $144.36 / $173.23	Professional		$105.52	$144.36	$173.23
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $258.00	Professional		$131.90	$131.90	$258.00