Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $181.97 / $363.08	Facility		$63.10	$181.97	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $120.23 / $371.54	Professional		$39.81	$120.23	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $77.62 / $194.98	Facility		$61.66	$77.62	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $186.21 / $316.23	Professional		$63.10	$186.21	$316.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $97.72 / $275.42	Facility		$45.71	$97.72	$275.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $218.78 / $489.78	Professional		$74.13	$218.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $281.84 / $524.81	Facility		$66.07	$281.84	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $134.90 / $288.40	Professional		$46.77	$134.90	$288.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $85.11 / $213.80	Professional		$40.74	$85.11	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $128.82 / $269.15	Professional		$36.31	$128.82	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $177.83	Professional		$107.15	$107.15	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $123.03 / $263.03	Facility		$43.65	$123.03	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $134.90 / $323.59	Professional		$47.86	$134.90	$323.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $436.52	Professional		$138.04	$138.04	$436.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $158.49 / $234.42	Professional		$37.15	$158.49	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $537.03 / $831.76	Facility		$524.81	$537.03	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $100.00 / $239.88	Professional		$37.15	$100.00	$239.88