Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $162.18 / $645.65	Facility		$83.18	$162.18	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $83.18 / $645.65	Professional		$72.44	$83.18	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $229.09 / $489.78	Facility		$44.67	$229.09	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $223.87	Professional		$91.20	$102.33	$223.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $218.78 / $275.42	Facility		$70.79	$218.78	$275.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $218.78	Professional		$64.57	$87.10	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $169.82 / $346.74	Facility		$67.61	$169.82	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $281.84	Professional		$51.29	$64.57	$281.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $131.83	Professional		$75.86	$97.72	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $169.82	Professional		$87.10	$107.15	$169.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $724.44	Professional		$489.78	$724.44	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $117.49 / $288.40	Facility		$79.43	$117.49	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $269.15	Professional		$52.48	$104.71	$269.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $128.82	Professional		$75.86	$87.10	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $97.72 / $97.72	Facility		$40.74	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $186.21	Professional		$40.74	$40.74	$186.21