Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $45.20 / $2,264.00	Facility		$40.04	$45.20	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $38.22 / $163.36	Professional		$28.01	$38.22	$163.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $191.77 / $876.00	Facility		$10.01	$191.77	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $46.60 / $92.08	Professional		$33.79	$46.60	$92.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $97.90 / $267.42	Facility		$56.30	$97.90	$267.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $44.90 / $100.76	Professional		$35.02	$44.90	$100.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.36 / $225.99 / $483.01	Facility		$62.36	$225.99	$483.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $47.23 / $102.52	Professional		$32.77	$47.23	$102.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $48.96 / $66.09	Professional		$27.70	$48.96	$66.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $48.40 / $83.00	Professional		$35.78	$48.40	$83.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.43 / $359.91 / $359.91	Facility		$96.43	$359.91	$359.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $243.52 / $243.52 / $315.00	Professional		$243.52	$243.52	$315.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $32.34 / $32.34	Professional		$27.29	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $50.54 / $96.97	Facility		$34.97	$50.54	$96.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $52.41 / $102.00	Professional		$33.21	$52.41	$102.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $119.45 / $119.45	Professional		$119.45	$119.45	$119.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $54.44 / $67.53	Professional		$39.59	$54.44	$67.53
United Facility/Professional Facility Modifier Low / Median / High Price $43.26 / $173.25 / $173.25	Facility		$43.26	$173.25	$173.25
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $40.86 / $91.48	Professional		$27.86	$40.86	$91.48