Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.74 / $96.08 / $2,264.00	Facility		$85.74	$96.08	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $84.18 / $370.67	Professional		$64.09	$84.18	$370.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $404.41 / $876.00	Facility		$30.57	$404.41	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $102.59 / $221.08	Professional		$77.73	$102.59	$221.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $185.66 / $844.72	Facility		$59.40	$185.66	$844.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $99.99 / $225.39	Professional		$77.67	$99.99	$225.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.37 / $620.40 / $1,461.60	Facility		$126.37	$620.40	$1,461.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $111.17 / $230.78	Professional		$69.53	$111.17	$230.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $104.95 / $141.68	Professional		$68.00	$104.95	$141.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $104.57 / $167.31	Professional		$79.51	$104.57	$167.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $264.04 / $431.92 / $431.92	Facility		$264.04	$431.92	$431.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $612.74 / $631.12 / $681.75	Professional		$612.74	$631.12	$681.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $54.19	Professional		$32.34	$32.34	$54.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $125.94 / $222.32	Facility		$78.75	$125.94	$222.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.11 / $122.56 / $231.81	Professional		$74.11	$122.56	$231.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $270.36 / $270.36 / $270.36	Professional		$270.36	$270.36	$270.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $116.70 / $230.73	Professional		$84.87	$116.70	$230.73
United Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $94.94 / $94.94	Facility		$94.94	$94.94	$94.94
United Facility/Professional Professional Modifier Low / Median / High Price $71.05 / $92.06 / $258.27	Professional		$71.05	$92.06	$258.27