Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $245.47 / $478.63	Facility		$91.20	$245.47	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $281.84	Professional		$32.36	$44.67	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $100.00 / $213.80	Facility		$24.55	$100.00	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $114.82	Professional		$33.88	$52.48	$114.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $120.23 / $575.44	Facility		$57.54	$120.23	$575.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $123.03	Professional		$33.88	$47.86	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $75.86 / $177.83	Facility		$32.36	$75.86	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $134.90	Professional		$28.18	$39.81	$134.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $57.54	Professional		$38.02	$43.65	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $74.13	Professional		$38.90	$46.77	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $354.81	Professional		$323.59	$323.59	$354.81
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 $37.15 / $66.07 / $128.82	Facility		$37.15	$66.07	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $46.77 / $120.23	Professional		$28.18	$46.77	$120.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $575.44	Professional		$33.88	$47.86	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $42.66 / $42.66	Facility		$17.78	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.70 / $85.11	Professional		$17.78	$25.70	$85.11