Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $229.09 / $2,454.71	Facility		$87.10	$229.09	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $34.67 / $134.90	Professional		$14.13	$34.67	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $45.71 / $22,387.21	Facility		$38.90	$45.71	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $102.33 / $177.83	Professional		$33.88	$102.33	$177.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $100.00 / $208.93	Facility		$52.48	$100.00	$208.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $199.53	Professional		$56.23	$100.00	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $154.88 / $6,165.95	Facility		$134.90	$154.88	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $61.66 / $138.04	Professional		$16.22	$61.66	$138.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $34.67	Professional		$14.13	$25.70	$34.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $42.66	Professional		$19.05	$25.12	$42.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $30.20 / $33.11	Professional		$16.22	$30.20	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $36.31 / $151.36	Facility		$19.50	$36.31	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $56.23 / $131.83	Professional		$15.14	$56.23	$131.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $371.54	Professional		$20.89	$28.84	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.88 / $109.65	Professional		$17.38	$33.88	$109.65