Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $549.54 / $933.25	Facility		$186.21	$549.54	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $812.83	Professional		$85.11	$114.82	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $281.84 / $616.60	Facility		$69.18	$281.84	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $407.38	Professional		$123.03	$194.98	$407.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $338.84 / $1,445.44	Facility		$69.18	$338.84	$1,445.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $295.12	Professional		$89.13	$117.49	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $213.80 / $446.68	Facility		$93.33	$213.80	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $354.81	Professional		$72.44	$102.33	$354.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $165.96	Professional		$109.65	$125.89	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $213.80	Professional		$109.65	$134.90	$213.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $912.01	Professional		$616.60	$912.01	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $151.36 / $363.08	Facility		$100.00	$151.36	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $346.74	Professional		$72.44	$131.83	$346.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $186.21	Professional		$97.72	$123.03	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $123.03 / $123.03	Facility		$51.29	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $234.42	Professional		$51.29	$63.10	$234.42