Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $671.35 / $1,827.00	Facility		$100.27	$671.35	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.19 / $107.43 / $439.00	Professional		$86.19	$107.43	$439.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $521.05 / $876.00	Facility		$38.04	$521.05	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.97 / $111.47 / $233.37	Professional		$63.97	$111.47	$233.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $115.51 / $666.53	Facility		$59.40	$115.51	$666.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.71 / $115.17 / $266.88	Professional		$91.71	$115.17	$266.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.10 / $290.95 / $681.32	Facility		$151.10	$290.95	$681.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.36 / $123.04 / $280.01	Professional		$80.36	$123.04	$280.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $137.94 / $186.23	Professional		$63.60	$137.94	$186.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $137.49 / $234.52	Professional		$101.63	$137.49	$234.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $780.88 / $980.48 / $1,012.16	Facility		$780.88	$980.48	$1,012.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $689.38 / $689.38 / $897.98	Professional		$689.38	$689.38	$897.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $68.34	Professional		$32.34	$32.34	$68.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.92 / $142.52 / $249.78	Facility		$93.92	$142.52	$249.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $138.36 / $287.52	Professional		$83.78	$138.36	$287.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $342.88 / $342.88 / $342.88	Professional		$342.88	$342.88	$342.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $114.49 / $153.38	Professional		$82.68	$114.49	$153.38
United Facility/Professional Facility Modifier Low / Median / High Price $123.27 / $123.27 / $123.27	Facility		$123.27	$123.27	$123.27
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $108.90 / $286.87	Professional		$70.79	$108.90	$286.87