Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.28 / $116.26 / $617.16	Facility		$103.28	$116.26	$617.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $101.53 / $202.54	Professional		$88.93	$101.53	$202.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.51 / $293.00 / $876.00	Facility		$85.51	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.42 / $106.42 / $220.21	Professional		$83.42	$106.42	$220.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.30 / $162.06 / $723.60	Facility		$60.30	$162.06	$723.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $86.83 / $145.03	Professional		$61.59	$86.83	$145.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $85.00 / $130.00	Facility		$65.00	$85.00	$130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $125.40 / $288.61	Professional		$83.57	$125.40	$288.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $64.94 / $140.60	Professional		$49.15	$64.94	$140.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.06 / $101.29 / $179.24	Professional		$87.06	$101.29	$179.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $222.26 / $438.98 / $486.50	Facility		$222.26	$438.98	$486.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.10 / $616.10 / $784.58	Professional		$616.10	$616.10	$784.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $56.32 / $137.26	Professional		$32.34	$56.32	$137.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.06 / $116.42 / $166.29	Facility		$85.06	$116.42	$166.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $129.18 / $282.57	Professional		$83.21	$129.18	$282.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $338.45 / $338.45 / $338.45	Professional		$338.45	$338.45	$338.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $102.31 / $132.19	Professional		$64.94	$102.31	$132.19
United Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $105.14 / $105.14	Facility		$105.14	$105.14	$105.14
United Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $96.69 / $249.50	Professional		$70.22	$96.69	$249.50