Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.66 / $582.54 / $1,239.55	Facility		$95.66	$582.54	$1,239.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $103.03 / $741.77	Professional		$61.14	$103.03	$741.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.64 / $260.00 / $586.03	Facility		$123.64	$260.00	$586.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $93.59 / $309.95	Professional		$56.97	$93.59	$309.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $223.19 / $1,500.20	Facility		$59.90	$223.19	$1,500.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $102.14 / $287.16	Professional		$71.50	$102.14	$287.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.48 / $152.00 / $386.15	Facility		$79.48	$152.00	$386.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $93.46 / $263.08	Professional		$36.54	$93.46	$263.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $115.36 / $155.74	Professional		$102.54	$115.36	$155.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $126.90 / $251.48	Professional		$103.82	$126.90	$251.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $220.02 / $547.96 / $547.96	Facility		$220.02	$547.96	$547.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $638.40 / $638.40 / $865.20	Professional		$638.40	$638.40	$865.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.21 / $69.21 / $138.43	Professional		$69.21	$69.21	$138.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $138.43 / $288.39	Facility		$98.06	$138.43	$288.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $115.36 / $230.72	Professional		$40.40	$115.36	$230.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $404.91 / $404.91 / $404.91	Professional		$404.91	$404.91	$404.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $104.59 / $174.32	Professional		$92.29	$104.59	$174.32
United Facility/Professional Facility Modifier Low / Median / High Price $51.91 / $79.16 / $87.40	Facility		$51.91	$79.16	$87.40
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $69.22 / $296.82	Professional		$48.45	$69.22	$296.82