Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $275.42 / $1,819.70	Facility		$72.44	$275.42	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $295.12	Professional		$61.66	$81.28	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $38.02 / $467.74	Facility		$33.88	$38.02	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $213.80	Professional		$74.13	$107.15	$213.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $117.49 / $257.04	Facility		$56.23	$117.49	$257.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $229.09	Professional		$75.86	$112.20	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $204.17 / $524.81	Facility		$112.20	$204.17	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $199.53	Professional		$69.18	$107.15	$199.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $114.82 / $154.88	Professional		$58.88	$114.82	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $218.78	Professional		$85.11	$107.15	$218.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $707.95	Professional		$549.54	$707.95	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $79.43	Professional		$30.90	$50.12	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $120.23 / $199.53	Facility		$77.62	$120.23	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $218.78	Professional		$70.79	$112.20	$218.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $144.54	Professional		$89.13	$109.65	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $144.54 / $218.78	Facility		$138.04	$144.54	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $177.83	Professional		$52.48	$85.11	$177.83