Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $331.13 / $1,819.70	Facility		$87.10	$331.13	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $389.05	Professional		$70.79	$93.33	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $23.99 / $537.03	Facility		$21.38	$23.99	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $281.84	Professional		$83.18	$114.82	$281.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $269.15 / $616.60	Facility		$69.18	$269.15	$616.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $213.80	Professional		$89.13	$117.49	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $549.54 / $1,479.11	Facility		$169.82	$549.54	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $218.78	Professional		$72.44	$107.15	$218.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $138.04 / $186.21	Professional		$38.02	$138.04	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $245.47	Professional		$100.00	$125.89	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $794.33	Professional		$645.65	$794.33	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.11 / $91.20	Professional		$17.38	$33.11	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $125.89 / $245.47	Facility		$81.28	$125.89	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $239.88	Professional		$72.44	$112.20	$239.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $125.89	Professional		$57.54	$93.33	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $389.05 / $602.56	Facility		$380.19	$389.05	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $199.53	Professional		$58.88	$93.33	$199.53