Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $255.60 / $567.00	Facility		$72.45	$255.60	$567.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $89.19 / $298.08	Professional		$65.34	$89.19	$298.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.13 / $79.50 / $209.23	Facility		$66.13	$79.50	$209.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $111.50 / $211.53	Professional		$69.19	$111.50	$211.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $164.76 / $1,333.07	Facility		$59.90	$164.76	$1,333.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $104.42 / $181.33	Professional		$79.14	$104.42	$181.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.10 / $96.86 / $250.00	Facility		$83.10	$96.86	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $103.30 / $220.58	Professional		$72.22	$103.30	$220.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $82.59 / $123.89	Professional		$48.78	$82.59	$123.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $87.63 / $165.48	Professional		$66.37	$87.63	$165.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $271.89 / $322.45 / $357.30	Facility		$271.89	$322.45	$357.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $513.00 / $741.22 / $763.46	Professional		$513.00	$741.22	$763.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $68.05 / $120.56	Professional		$32.34	$68.05	$120.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.70 / $95.00 / $148.50	Facility		$67.70	$95.00	$148.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $105.78 / $208.18	Professional		$72.90	$105.78	$208.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $238.98 / $238.98 / $287.07	Professional		$238.98	$238.98	$287.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $80.43 / $105.18	Professional		$54.64	$80.43	$105.18
United Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $115.00 / $218.70	Facility		$115.00	$115.00	$218.70
United Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $98.02 / $215.62	Professional		$67.19	$98.02	$215.62