Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.43 / $110.69 / $2,264.00	Facility		$98.43	$110.69	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $100.43 / $245.11	Professional		$84.58	$100.43	$245.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $486.00 / $876.00	Facility		$26.89	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $120.06 / $269.95	Professional		$89.85	$120.06	$269.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $197.90 / $884.95	Facility		$59.40	$197.90	$884.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $105.17 / $259.12	Professional		$81.76	$105.17	$259.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.95 / $916.61 / $2,383.29	Facility		$181.95	$916.61	$2,383.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $133.65 / $296.52	Professional		$89.61	$133.65	$296.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $127.90 / $172.67	Professional		$71.81	$127.90	$172.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $126.78 / $210.56	Professional		$93.70	$126.78	$210.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $274.99 / $523.64 / $523.64	Facility		$274.99	$523.64	$523.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $734.89 / $734.89 / $823.13	Professional		$734.89	$734.89	$823.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $78.03	Professional		$32.34	$32.34	$78.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.43 / $143.06 / $284.57	Facility		$98.43	$143.06	$284.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.46 / $146.78 / $306.39	Professional		$92.46	$146.78	$306.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $376.24 / $376.24 / $376.24	Professional		$376.24	$376.24	$376.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.44 / $142.22 / $175.12	Professional		$103.44	$142.22	$175.12
United Facility/Professional Facility Modifier Low / Median / High Price $114.85 / $114.85 / $114.85	Facility		$114.85	$114.85	$114.85
United Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $114.76 / $283.95	Professional		$76.45	$114.76	$283.95