Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.92 / $129.85 / $671.90	Facility		$113.92	$129.85	$671.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.08 / $112.51 / $196.43	Professional		$95.08	$112.51	$196.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.96 / $102.14 / $268.81	Facility		$84.96	$102.14	$268.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $106.82 / $221.81	Professional		$71.50	$106.82	$221.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $137.81 / $614.76	Facility		$60.60	$137.81	$614.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $74.78 / $124.94	Professional		$52.35	$74.78	$124.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $95.00 / $128.00	Facility		$72.00	$95.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $131.30 / $313.92	Professional		$79.20	$131.30	$313.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $125.89 / $157.36	Professional		$51.95	$125.89	$157.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $112.47 / $196.82	Professional		$95.20	$112.47	$196.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $212.36 / $472.31 / $534.23	Facility		$212.36	$472.31	$534.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $657.65 / $657.65 / $850.58	Professional		$657.65	$657.65	$850.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.14 / $145.55	Professional		$32.34	$57.14	$145.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $122.64 / $160.83	Facility		$75.45	$122.64	$160.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $135.72 / $298.64	Professional		$79.09	$135.72	$298.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $359.40 / $359.40 / $359.40	Professional		$359.40	$359.40	$359.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $110.48 / $139.97	Professional		$67.53	$110.48	$139.97
United Facility/Professional Facility Modifier Low / Median / High Price $202.50 / $202.50 / $202.50	Facility		$202.50	$202.50	$202.50
United Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $102.27 / $272.48	Professional		$76.19	$102.27	$272.48