Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $78.17 / $2,264.00	Facility		$69.20	$78.17	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $78.17 / $287.27	Professional		$58.73	$78.17	$287.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $416.44 / $876.00	Facility		$18.14	$416.44	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $78.95 / $162.62	Professional		$54.66	$78.95	$162.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $100.00 / $320.36	Facility		$57.10	$100.00	$320.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $87.54 / $184.21	Professional		$67.91	$87.54	$184.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.51 / $456.91 / $1,182.25	Facility		$154.51	$456.91	$1,182.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $88.00 / $212.60	Professional		$57.02	$88.00	$212.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $110.38 / $149.01	Professional		$38.43	$110.38	$149.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $108.12 / $183.28	Professional		$80.31	$108.12	$183.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $183.54 / $448.83 / $448.83	Facility		$183.54	$448.83	$448.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $572.92 / $572.92 / $702.90	Professional		$572.92	$572.92	$702.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $66.11	Professional		$32.34	$32.34	$66.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $104.46 / $208.28	Facility		$62.01	$104.46	$208.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $105.23 / $238.10	Professional		$59.42	$105.23	$238.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $274.98 / $274.98 / $274.98	Professional		$274.98	$274.98	$274.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.64 / $93.71 / $122.75	Professional		$57.64	$93.71	$122.75
United Facility/Professional Facility Modifier Low / Median / High Price $97.62 / $267.75 / $267.75	Facility		$97.62	$267.75	$267.75
United Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $83.37 / $210.97	Professional		$48.68	$83.37	$210.97