Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.33 / $43.07 / $423.38	Facility		$39.33	$43.07	$423.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $66.17 / $423.38	Professional		$43.07	$66.17	$423.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $81.12 / $214.48	Facility		$67.36	$81.12	$214.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $93.64 / $136.46	Professional		$63.02	$93.64	$136.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $173.73 / $256.08	Facility		$98.20	$173.73	$256.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $194.69 / $453.50	Professional		$79.31	$194.69	$453.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.02 / $88.15 / $116.57	Facility		$84.02	$88.15	$116.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $74.93 / $103.71	Professional		$74.93	$74.93	$103.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $146.72 / $176.08	Professional		$117.38	$146.72	$176.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $102.71 / $227.43	Professional		$88.04	$102.71	$227.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $297.86 / $696.97 / $696.97	Facility		$297.86	$696.97	$696.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $730.72 / $730.72 / $1,100.48	Professional		$730.72	$730.72	$1,100.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $300.79	Professional		$32.34	$32.34	$300.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $129.72 / $146.72	Facility		$40.18	$129.72	$146.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $88.15 / $132.59	Professional		$74.93	$88.15	$132.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $276.95 / $276.95 / $276.95	Professional		$276.95	$276.95	$276.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $117.38 / $117.38	Professional		$117.38	$117.38	$117.38
United Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $58.03 / $97.64	Facility		$40.18	$58.03	$97.64
United Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $62.23 / $144.16	Professional		$55.86	$62.23	$144.16