Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.10 / $338.56 / $948.43	Facility		$112.10	$338.56	$948.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.11 / $112.09 / $401.00	Professional		$84.11	$112.09	$401.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $126.66 / $333.59	Facility		$104.76	$126.66	$333.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $130.75 / $247.85	Professional		$60.06	$130.75	$247.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $166.87 / $1,320.11	Facility		$59.40	$166.87	$1,320.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $133.30 / $305.72	Professional		$100.00	$133.30	$305.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.37 / $103.37 / $103.37	Facility		$103.37	$103.37	$103.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.91 / $127.87 / $246.36	Professional		$85.91	$127.87	$246.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $76.01 / $148.91	Professional		$39.95	$76.01	$148.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.92 / $111.88 / $207.36	Professional		$86.92	$111.88	$207.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $203.22 / $469.35 / $469.35	Facility		$203.22	$469.35	$469.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $741.22 / $763.46 / $763.46	Professional		$741.22	$763.46	$763.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $130.05	Professional		$32.34	$32.34	$130.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.94 / $120.94 / $198.15	Facility		$92.94	$120.94	$198.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $144.38 / $246.28	Professional		$86.72	$144.38	$246.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $303.24 / $303.24 / $303.24	Professional		$303.24	$303.24	$303.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $71.91 / $122.64	Professional		$41.55	$71.91	$122.64
United Facility/Professional Facility Modifier Low / Median / High Price $105.66 / $105.66 / $105.66	Facility		$105.66	$105.66	$105.66
United Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $115.48 / $229.28	Professional		$75.98	$115.48	$229.28