Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.34 / $168.34 / $168.34	Facility		$168.34	$168.34	$168.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $168.34 / $168.34	Professional		$156.19	$168.34	$168.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.71 / $275.08 / $610.24	Facility		$176.71	$275.08	$610.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $172.40 / $336.18	Professional		$169.02	$172.40	$336.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $185.80 / $370.40	Facility		$97.00	$185.80	$370.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $183.77 / $407.97	Professional		$128.63	$183.77	$407.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $14,641.00	Facility		$172.40	$172.40	$14,641.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $169.02 / $202.82	Professional		$169.02	$169.02	$202.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.54 / $263.67 / $416.00	Professional		$182.54	$263.67	$416.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $192.68 / $858.90 / $858.90	Facility		$192.68	$858.90	$858.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $726.48 / $770.72 / $886.14	Professional		$726.48	$770.72	$886.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $396.85 / $396.85 / $396.85	Professional		$396.85	$396.85	$396.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.38 / $178.44 / $263.97	Facility		$164.38	$178.44	$263.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $204.99	Professional		$172.40	$172.40	$204.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $332.89 / $332.89 / $332.89	Professional		$332.89	$332.89	$332.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $185.92 / $287.33	Professional		$169.02	$185.92	$287.33
United Facility/Professional Facility Modifier Low / Median / High Price $425.60 / $448.55 / $448.55	Facility		$425.60	$448.55	$448.55
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $392.70	Professional		$202.82	$202.82	$392.70