Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.42 / $117.22 / $869.01	Facility		$102.42	$117.22	$869.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $125.03 / $191.48	Professional		$102.42	$125.03	$191.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $293.00 / $876.00	Facility		$30.90	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.37 / $120.91 / $228.80	Professional		$90.37	$120.91	$228.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $100.00 / $332.10	Facility		$57.10	$100.00	$332.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $93.00 / $226.71	Professional		$66.95	$93.00	$226.71
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 $92.79 / $164.32 / $390.94	Professional		$92.79	$164.32	$390.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $163.59 / $220.85	Professional		$66.47	$163.59	$220.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $160.16 / $299.00	Professional		$125.60	$160.16	$299.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $827.61 / $1,012.20 / $1,043.00	Facility		$827.61	$1,012.20	$1,043.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $839.64 / $839.64 / $1,075.65	Professional		$839.64	$839.64	$1,075.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $170.10	Professional		$32.34	$32.34	$170.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.62 / $157.61 / $227.14	Facility		$107.62	$157.61	$227.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.33 / $187.22 / $350.42	Professional		$100.33	$187.22	$350.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $450.81 / $450.81 / $450.81	Professional		$450.81	$450.81	$450.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $132.30 / $181.92	Professional		$86.41	$132.30	$181.92
United Facility/Professional Facility Modifier Low / Median / High Price $140.50 / $140.50 / $140.50	Facility		$140.50	$140.50	$140.50
United Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $135.22 / $355.21	Professional		$88.58	$135.22	$355.21