Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $189.48 / $1,397.15	Facility		$67.17	$189.48	$1,397.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $98.56 / $785.88	Professional		$94.74	$98.56	$785.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.00 / $275.14 / $614.00	Facility		$131.00	$275.14	$614.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $114.00 / $279.16	Professional		$60.36	$114.00	$279.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.50 / $100.00 / $344.66	Facility		$80.50	$100.00	$344.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $108.22 / $323.45	Professional		$75.75	$108.22	$323.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.77 / $211.31 / $425.48	Facility		$89.77	$211.31	$425.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $99.93 / $438.52	Professional		$67.84	$99.93	$438.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $124.94 / $165.00	Professional		$108.64	$124.94	$165.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $140.55 / $268.88	Professional		$110.00	$140.55	$268.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $212.66 / $580.54 / $580.54	Facility		$212.66	$580.54	$580.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $611.10 / $611.10 / $916.65	Professional		$611.10	$611.10	$916.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $146.66 / $146.66	Professional		$146.66	$146.66	$146.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.42 / $146.66 / $370.19	Facility		$100.42	$146.66	$370.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $143.86 / $334.85	Professional		$81.15	$143.86	$334.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $428.99 / $428.99 / $428.99	Professional		$428.99	$428.99	$428.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $121.68 / $184.69	Professional		$97.78	$121.68	$184.69
United Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $122.22	Facility		$122.22	$122.22	$122.22
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $70.03 / $326.99	Professional		$51.33	$70.03	$326.99