Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $295.12 / $501.19	Facility		$107.15	$295.12	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $338.84	Professional		$34.67	$51.29	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $120.23 / $257.04	Facility		$29.51	$120.23	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $147.91	Professional		$39.81	$66.07	$147.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $144.54 / $691.83	Facility		$60.26	$144.54	$691.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $147.91	Professional		$40.74	$56.23	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $91.20 / $204.17	Facility		$38.90	$91.20	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $162.18	Professional		$33.88	$47.86	$162.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $69.18	Professional		$45.71	$52.48	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $89.13	Professional		$45.71	$56.23	$89.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $389.05	Professional		$295.12	$389.05	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $66.07 / $151.36	Facility		$41.69	$66.07	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $147.91	Professional		$33.88	$56.23	$147.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $77.62	Professional		$40.74	$51.29	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $51.29 / $51.29	Facility		$21.38	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $102.33	Professional		$21.38	$30.20	$102.33