Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.58 / $48.80 / $338.09	Facility		$41.58	$48.80	$338.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $48.80 / $218.00	Professional		$39.03	$48.80	$218.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $293.00 / $876.00	Facility		$45.15	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $62.76 / $132.02	Professional		$45.81	$62.76	$132.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $89.10 / $201.43	Facility		$45.50	$89.10	$201.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $52.72 / $113.34	Professional		$39.40	$52.72	$113.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $123.44 / $364.04	Facility		$65.06	$123.44	$364.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $64.73 / $146.26	Professional		$47.63	$64.73	$146.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $55.84 / $76.13	Professional		$42.95	$55.84	$76.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $51.68 / $114.97	Professional		$35.88	$51.68	$114.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $149.21 / $192.57 / $192.57	Facility		$149.21	$192.57	$192.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $245.25 / $312.52 / $432.68	Professional		$245.25	$312.52	$432.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $72.73	Professional		$32.34	$32.34	$72.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $52.70 / $76.81	Facility		$39.40	$52.70	$76.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $69.38 / $128.72	Professional		$48.96	$69.38	$128.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $155.16 / $186.42	Professional		$155.16	$155.16	$186.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $52.34 / $66.43	Professional		$38.97	$52.34	$66.43
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $58.20 / $134.79	Professional		$43.21	$58.20	$134.79