Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $98.92 / $367.61	Facility		$97.94	$98.92	$367.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $98.92 / $367.61	Professional		$97.94	$98.92	$367.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.67 / $142.54 / $365.76	Facility		$107.67	$142.54	$365.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $114.03 / $254.53	Professional		$97.94	$114.03	$254.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $100.00 / $1,414.65	Facility		$87.50	$100.00	$1,414.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $135.90 / $222.84 / $362.63	Professional		$135.90	$222.84	$362.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.40 / $92.40 / $97.94	Facility		$92.40	$92.40	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $138.59	Professional		$97.94	$97.94	$138.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $102.79 / $138.76	Professional		$71.23	$102.79	$138.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $122.43 / $215.47	Professional		$88.15	$122.43	$215.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.44 / $515.50 / $774.00	Facility		$175.44	$515.50	$774.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $464.40 / $784.32 / $928.80	Professional		$464.40	$784.32	$928.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $210.71 / $210.71 / $210.71	Professional		$210.71	$210.71	$210.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $105.32 / $168.77	Facility		$97.94	$105.32	$168.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $206.25	Professional		$97.94	$97.94	$206.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $240.48 / $240.48 / $240.48	Professional		$240.48	$240.48	$240.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $78.34 / $107.73	Professional		$71.23	$78.34	$107.73
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $196.63	Professional		$97.94	$97.94	$196.63