Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.87 / $179.87 / $1,371.44	Facility		$156.87	$179.87	$1,371.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.87 / $196.95 / $348.07	Professional		$156.87	$196.95	$348.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $293.00 / $876.00	Facility		$44.88	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $205.97 / $372.31	Professional		$132.47	$205.97	$372.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.74 / $100.00 / $378.01	Facility		$58.74	$100.00	$378.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $155.15 / $377.51	Professional		$105.12	$155.15	$377.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.79 / $200.46 / $587.45	Facility		$163.79	$200.46	$587.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $241.28 / $627.88	Professional		$132.72	$241.28	$627.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $111.45 / $141.35 / $358.71	Professional		$111.45	$141.35	$358.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.31 / $259.04 / $433.93	Professional		$203.31	$259.04	$433.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.17 / $950.70 / $1,102.24	Facility		$436.17	$950.70	$1,102.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,377.95 / $1,377.95 / $1,740.15	Professional		$1,377.95	$1,377.95	$1,740.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $286.57	Professional		$32.34	$32.34	$286.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.76 / $243.46 / $351.20	Facility		$169.76	$243.46	$351.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.68 / $292.27 / $575.04	Professional		$157.68	$292.27	$575.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $709.31 / $709.31 / $709.31	Professional		$709.31	$709.31	$709.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.35 / $227.22 / $295.47	Professional		$141.35	$227.22	$295.47
United Facility/Professional Facility Modifier Low / Median / High Price $237.74 / $303.39 / $356.40	Facility		$237.74	$303.39	$356.40
United Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $210.70 / $561.79	Professional		$139.94	$210.70	$561.79