Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $149.27 / $358.28	Facility		$47.53	$149.27	$358.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $114.08 / $227.32	Professional		$45.47	$114.08	$227.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.00 / $530.00 / $3,398.00	Facility		$221.00	$530.00	$3,398.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $164.87 / $297.83	Professional		$63.82	$164.87	$297.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.15 / $86.60 / $203.37	Facility		$42.15	$86.60	$203.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $138.03 / $326.62	Professional		$51.96	$138.03	$326.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $71.19 / $334.63	Facility		$71.19	$71.19	$334.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $128.71 / $308.26	Professional		$47.86	$128.71	$308.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $65.98 / $212.19	Professional		$50.76	$65.98	$212.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $122.69 / $246.79	Professional		$44.36	$122.69	$246.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.52 / $220.40 / $220.40	Facility		$218.52	$220.40	$220.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $466.03 / $855.04 / $1,051.58	Professional		$466.03	$855.04	$1,051.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $106.73	Professional		$32.34	$32.34	$106.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $107.22 / $210.52	Facility		$45.48	$107.22	$210.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $135.53 / $325.79	Professional		$49.85	$135.53	$325.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $150.13 / $426.63	Professional		$150.13	$150.13	$426.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $98.44 / $181.51	Professional		$41.03	$98.44	$181.51
United Facility/Professional Facility Modifier Low / Median / High Price $334.97 / $347.33 / $533.99	Facility		$334.97	$347.33	$533.99
United Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $144.40 / $313.89	Professional		$95.41	$144.40	$313.89