Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $123.68 / $1,413.82	Facility		$37.64	$123.68	$1,413.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $99.82 / $627.00	Professional		$95.95	$99.82	$627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.56 / $278.43 / $619.64	Facility		$132.56	$278.43	$619.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $126.95 / $310.87	Professional		$61.08	$126.95	$310.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.50 / $100.00 / $348.78	Facility		$80.50	$100.00	$348.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $109.51 / $327.32	Professional		$76.66	$109.51	$327.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.84 / $213.84 / $430.57	Facility		$90.84	$213.84	$430.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.76 / $101.12 / $443.75	Professional		$68.76	$101.12	$443.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $126.43 / $166.97	Professional		$109.94	$126.43	$166.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $142.22 / $273.00	Professional		$111.31	$142.22	$273.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $215.20 / $587.48 / $587.48	Facility		$215.20	$587.48	$587.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $618.40 / $618.40 / $927.60	Professional		$618.40	$618.40	$927.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $148.41 / $148.41	Professional		$148.41	$148.41	$148.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.71 / $148.41 / $374.62	Facility		$101.71	$148.41	$374.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $145.46 / $338.65	Professional		$82.08	$145.46	$338.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $434.11 / $434.11 / $434.11	Professional		$434.11	$434.11	$434.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $98.94 / $123.13 / $186.90	Professional		$98.94	$123.13	$186.90
United Facility/Professional Facility Modifier Low / Median / High Price $51.95 / $123.68 / $123.68	Facility		$51.95	$123.68	$123.68
United Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $70.87 / $408.43	Professional		$51.95	$70.87	$408.43