Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $102.04 / $3,417.74	Facility		$101.03	$102.04	$3,417.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $102.04 / $387.22	Professional		$101.03	$102.04	$387.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $132.49 / $376.58	Facility		$98.54	$132.49	$376.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $104.12 / $232.40	Professional		$98.54	$104.12	$232.40
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 $100.00 / $220.18 / $348.20	Professional		$100.00	$220.18	$348.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $95.31 / $101.03	Facility		$95.31	$95.31	$101.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $159.72	Professional		$101.03	$101.03	$159.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $105.69 / $142.68	Professional		$103.77	$105.69	$142.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $126.29 / $222.27	Professional		$94.46	$126.29	$222.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $547.60 / $547.60	Facility		$174.32	$547.60	$547.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $466.64 / $466.64 / $466.64	Professional		$466.64	$466.64	$466.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.66 / $216.66 / $216.66	Professional		$216.66	$216.66	$216.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $111.13 / $171.87	Facility		$101.03	$111.13	$171.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $142.97	Professional		$101.03	$101.03	$142.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $253.29 / $253.29 / $253.29	Professional		$253.29	$253.29	$253.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $103.77 / $124.52	Professional		$80.81	$103.77	$124.52
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $215.17	Professional		$101.03	$101.03	$215.17