Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.77 / $213.00 / $534.05	Facility		$103.77	$213.00	$534.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $94.38 / $350.53	Professional		$77.69	$94.38	$350.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.42 / $61.81 / $162.69	Facility		$51.42	$61.81	$162.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.33 / $91.83 / $168.55	Professional		$54.33	$91.83	$168.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.30 / $133.59 / $624.46	Facility		$60.30	$133.59	$624.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $73.23 / $128.44	Professional		$45.44	$73.23	$128.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $95.00 / $130.00	Facility		$72.00	$95.00	$130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $98.72 / $231.25	Professional		$39.01	$98.72	$231.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $42.89 / $127.76	Professional		$32.47	$42.89	$127.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $91.99 / $160.63	Professional		$78.02	$91.99	$160.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $191.89 / $387.55 / $436.00	Facility		$191.89	$387.55	$436.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.75 / $537.75 / $694.88	Professional		$537.75	$537.75	$694.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.20 / $119.72	Professional		$32.34	$37.20	$119.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $95.23 / $131.12	Facility		$33.97	$95.23	$131.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $101.70 / $214.88	Professional		$42.56	$101.70	$214.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $288.63 / $288.63 / $288.63	Professional		$288.63	$288.63	$288.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $82.46 / $110.74	Professional		$42.89	$82.46	$110.74
United Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $89.28 / $216.66	Professional		$66.95	$89.28	$216.66