Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.66 / $381.00 / $555.22	Facility		$83.66	$381.00	$555.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $92.22 / $325.61	Professional		$62.02	$92.22	$325.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.58 / $92.65 / $376.00	Facility		$74.58	$92.65	$376.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $121.82 / $259.43	Professional		$82.66	$121.82	$259.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $168.12 / $300.22	Facility		$96.60	$168.12	$300.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $96.33 / $155.51	Professional		$68.05	$96.33	$155.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.10 / $105.00 / $150.00	Facility		$83.10	$105.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $121.53 / $292.00	Professional		$95.19	$121.53	$292.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $131.78 / $164.73	Professional		$64.11	$131.78	$164.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $119.35 / $244.00	Professional		$101.45	$119.35	$244.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $204.84 / $424.83 / $566.91	Facility		$204.84	$424.83	$566.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $702.98 / $702.98 / $910.50	Professional		$702.98	$702.98	$910.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.52 / $158.54	Professional		$32.34	$70.52	$158.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.44 / $128.71 / $186.15	Facility		$82.44	$128.71	$186.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.09 / $124.23 / $272.31	Professional		$96.09	$124.23	$272.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.99 / $302.99 / $302.99	Professional		$302.99	$302.99	$302.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $117.37 / $146.51	Professional		$83.34	$117.37	$146.51
United Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $108.68 / $108.68	Facility		$108.68	$108.68	$108.68
United Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $95.81 / $252.62	Professional		$73.08	$95.81	$252.62