Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.64 / $98.93 / $2,264.00	Facility		$87.64	$98.93	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.44 / $89.76 / $375.99	Professional		$71.44	$89.76	$375.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $476.78 / $876.00	Facility		$21.61	$476.78	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $107.42 / $224.87	Professional		$70.80	$107.42	$224.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $106.14 / $474.70	Facility		$59.40	$106.14	$474.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $100.00 / $195.69	Professional		$78.89	$100.00	$195.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.39 / $620.40 / $1,412.07	Facility		$171.39	$620.40	$1,412.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $106.70 / $242.56	Professional		$71.36	$106.70	$242.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $126.57 / $170.87	Professional		$38.09	$126.57	$170.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $123.95 / $210.12	Professional		$92.02	$123.95	$210.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $203.92 / $972.00 / $972.00	Facility		$203.92	$972.00	$972.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $640.03 / $640.03 / $802.05	Professional		$640.03	$640.03	$802.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $73.45	Professional		$32.34	$32.34	$73.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.32 / $119.76 / $246.03	Facility		$82.32	$119.76	$246.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $122.77 / $265.95	Professional		$73.11	$122.77	$265.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $308.33 / $308.33 / $308.33	Professional		$308.33	$308.33	$308.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $102.38 / $140.78	Professional		$57.13	$102.38	$140.78
United Facility/Professional Facility Modifier Low / Median / High Price $111.79 / $244.13 / $244.13	Facility		$111.79	$244.13	$244.13
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $93.47 / $232.54	Professional		$62.50	$93.47	$232.54