Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $309.03 / $1,819.70	Facility		$97.72	$309.03	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $288.40	Professional		$83.18	$107.15	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.20 / $512.86	Facility		$26.92	$30.20	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $338.84	Professional		$93.33	$131.83	$338.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $467.74 / $1,071.52	Facility		$69.18	$467.74	$1,071.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $275.42	Professional		$91.20	$134.90	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $812.83 / $2,454.71	Facility		$173.78	$812.83	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $257.04	Professional		$89.13	$134.90	$257.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $173.78	Professional		$72.44	$128.82	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $208.93	Professional		$93.33	$120.23	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $831.76	Professional		$741.31	$831.76	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $144.54 / $275.42	Facility		$97.72	$144.54	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $263.03	Professional		$89.13	$141.25	$263.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $173.78	Professional		$104.71	$134.90	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $575.44 / $891.25	Facility		$549.54	$575.44	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $234.42	Professional		$75.86	$114.82	$234.42