Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $562.34 / $933.25	Facility		$208.93	$562.34	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $141.25	Professional		$81.28	$107.15	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $302.00 / $616.60	Facility		$158.49	$302.00	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $977.24 / $1,584.89	Professional		$245.47	$977.24	$1,584.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $338.84 / $1,445.44	Facility		$69.18	$338.84	$1,445.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $239.88	Professional		$70.79	$95.50	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $204.17 / $436.52	Facility		$83.18	$204.17	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $165.96	Professional		$97.72	$134.90	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $213.80	Professional		$109.65	$134.90	$213.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $912.01	Professional		$616.60	$912.01	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $147.91 / $354.81	Facility		$102.33	$147.91	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $173.78	Professional		$123.03	$134.90	$173.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $1,479.11	Professional		$97.72	$123.03	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $123.03 / $123.03	Facility		$51.29	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $234.42	Professional		$51.29	$63.10	$234.42