Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.14 / $102.79 / $342.67	Facility		$72.14	$102.79	$342.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $72.14 / $157.31	Professional		$40.10	$72.14	$157.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $293.00 / $876.00	Facility		$70.70	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $95.10 / $176.40	Professional		$51.17	$95.10	$176.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $111.99 / $494.56	Facility		$59.40	$111.99	$494.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $103.68 / $199.38	Professional		$72.58	$103.68	$199.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.73 / $137.58 / $364.04	Facility		$117.73	$137.58	$364.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $85.79 / $162.77	Professional		$47.34	$85.79	$162.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $64.73 / $90.80	Professional		$43.39	$64.73	$90.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $57.60 / $101.91	Professional		$38.92	$57.60	$101.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $184.85 / $192.38 / $192.38	Facility		$184.85	$192.38	$192.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $602.00 / $686.87 / $693.25	Professional		$602.00	$686.87	$693.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $80.47	Professional		$32.34	$32.34	$80.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.38 / $73.91 / $146.99	Facility		$45.38	$73.91	$146.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.38 / $93.59 / $148.25	Professional		$52.38	$93.59	$148.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $134.04 / $134.04 / $185.73	Professional		$134.04	$134.04	$185.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $61.15 / $167.13	Professional		$39.43	$61.15	$167.13
United Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $65.08 / $65.08	Facility		$65.08	$65.08	$65.08
United Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $84.36 / $180.52	Professional		$45.36	$84.36	$180.52