Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $316.23 / $1,174.90	Facility		$128.82	$316.23	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $478.63	Professional		$100.00	$162.18	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $398.11 / $851.14	Facility		$79.43	$398.11	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $426.58	Professional		$169.82	$194.98	$426.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $380.19 / $478.63	Facility		$123.03	$380.19	$478.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $302.00	Professional		$75.86	$102.33	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $302.00 / $602.56	Facility		$109.65	$302.00	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $489.78	Professional		$70.79	$112.20	$489.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $229.09	Professional		$102.33	$169.82	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $295.12	Professional		$151.36	$186.21	$295.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,288.25	Professional		$851.14	$1,288.25	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $204.17 / $501.19	Facility		$128.82	$204.17	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $169.82 / $478.63	Professional		$74.13	$169.82	$478.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $173.78	Professional		$102.33	$134.90	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $169.82 / $169.82	Facility		$70.79	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $323.59	Professional		$53.70	$70.79	$323.59