Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.49 / $117.19 / $2,264.00	Facility		$103.49	$117.19	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $106.48 / $444.36	Professional		$84.64	$106.48	$444.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $553.95 / $876.00	Facility		$21.61	$553.95	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $125.78 / $265.33	Professional		$89.04	$125.78	$265.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $165.30 / $726.80	Facility		$59.40	$165.30	$726.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $114.59 / $270.55	Professional		$92.60	$114.59	$270.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.71 / $620.40 / $1,461.60	Facility		$215.71	$620.40	$1,461.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $131.33 / $296.17	Professional		$87.57	$131.33	$296.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $150.59 / $203.30	Professional		$41.33	$150.59	$203.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $147.86 / $245.57	Professional		$109.28	$147.86	$245.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $260.66 / $610.71 / $610.71	Facility		$260.66	$610.71	$610.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $780.47 / $780.47 / $953.18	Professional		$780.47	$780.47	$953.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $92.10	Professional		$32.34	$32.34	$92.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.65 / $142.43 / $290.74	Facility		$99.65	$142.43	$290.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $150.44 / $324.36	Professional		$92.18	$150.44	$324.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $376.30 / $376.30 / $376.30	Professional		$376.30	$376.30	$376.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $121.80 / $167.48	Professional		$62.00	$121.80	$167.48
United Facility/Professional Facility Modifier Low / Median / High Price $132.84 / $244.13 / $244.13	Facility		$132.84	$244.13	$244.13
United Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $114.04 / $283.54	Professional		$73.61	$114.04	$283.54