Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.28 / $196.01 / $1,455.04	Facility		$79.28	$196.01	$1,455.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $90.30 / $1,064.23	Professional		$79.28	$90.30	$1,064.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.70 / $339.33 / $829.21	Facility		$169.70	$339.33	$829.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $94.45 / $248.26	Professional		$66.20	$94.45	$248.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $119.66 / $466.74	Facility		$92.60	$119.66	$466.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $107.69 / $239.07	Professional		$75.38	$107.69	$239.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.61 / $286.16 / $554.04	Facility		$110.61	$286.16	$554.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $110.34 / $481.43	Professional		$88.62	$110.34	$481.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $132.40 / $165.51 / $223.44	Professional		$132.40	$165.51	$223.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.96 / $190.34 / $364.12	Professional		$148.96	$190.34	$364.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $287.99 / $786.17 / $786.17	Facility		$287.99	$786.17	$786.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $827.55 / $827.55 / $1,241.33	Professional		$827.55	$827.55	$1,241.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.61 / $198.61 / $198.61	Professional		$198.61	$198.61	$198.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.37 / $198.61 / $475.61	Facility		$113.37	$198.61	$475.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $190.34 / $373.05	Professional		$96.10	$190.34	$373.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $580.94 / $580.94 / $580.94	Professional		$580.94	$580.94	$580.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $148.96 / $225.08	Professional		$132.41	$148.96	$225.08
United Facility/Professional Facility Modifier Low / Median / High Price $69.51 / $165.51 / $165.51	Facility		$69.51	$165.51	$165.51
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $74.66 / $365.45	Professional		$69.51	$74.66	$365.45