Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $152.68 / $752.21	Facility		$151.16	$152.68	$752.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $157.27 / $788.65	Professional		$151.16	$157.27	$788.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.51 / $174.44 / $295.14	Facility		$146.51	$174.44	$295.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $158.84 / $423.69	Professional		$150.33	$158.84	$423.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.40 / $100.00 / $1,445.35	Facility		$87.40	$100.00	$1,445.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $159.86 / $354.89	Professional		$111.90	$159.86	$354.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.61 / $142.61 / $151.16	Facility		$142.61	$142.61	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $261.45	Professional		$151.16	$151.16	$261.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.60 / $158.33 / $213.75	Professional		$151.60	$158.33	$213.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $188.96 / $332.57	Professional		$136.05	$188.96	$332.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $340.68 / $699.05 / $699.05	Facility		$340.68	$699.05	$699.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $699.05 / $699.05 / $699.05	Professional		$699.05	$699.05	$699.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.57 / $324.57 / $324.57	Professional		$324.57	$324.57	$324.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $166.28 / $257.26	Facility		$151.16	$166.28	$257.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $213.91	Professional		$151.16	$151.16	$213.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.10 / $354.10 / $354.10	Professional		$354.10	$354.10	$354.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.93 / $151.60 / $181.92	Professional		$120.93	$151.60	$181.92
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $303.50	Professional		$151.16	$151.16	$303.50