Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.56 / $481.47 / $1,827.00	Facility		$92.56	$481.47	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $79.05 / $425.63	Professional		$58.47	$79.05	$425.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $348.45 / $876.00	Facility		$19.75	$348.45	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.61 / $117.37 / $253.20	Professional		$77.61	$117.37	$253.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $134.08 / $614.07	Facility		$59.40	$134.08	$614.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $97.59 / $229.99	Professional		$74.26	$97.59	$229.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.64 / $620.40 / $1,461.60	Facility		$99.64	$620.40	$1,461.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $119.00 / $220.42	Professional		$64.68	$119.00	$220.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $89.71 / $121.11	Professional		$63.76	$89.71	$121.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $89.27 / $157.26	Professional		$67.88	$89.27	$157.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $224.86 / $368.74 / $368.74	Facility		$224.86	$368.74	$368.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $678.50 / $698.85 / $698.85	Professional		$678.50	$698.85	$698.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $46.81	Professional		$32.34	$32.34	$46.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.62 / $98.67 / $282.93	Facility		$65.62	$98.67	$282.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $131.76 / $211.30	Professional		$68.22	$131.76	$211.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $244.92 / $244.92 / $244.92	Professional		$244.92	$244.92	$244.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $89.26 / $108.38	Professional		$72.55	$89.26	$108.38
United Facility/Professional Facility Modifier Low / Median / High Price $79.63 / $79.63 / $79.63	Facility		$79.63	$79.63	$79.63
United Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $95.21 / $213.85	Professional		$69.97	$95.21	$213.85