Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $70.79 / $549.54	Facility		$64.57	$70.79	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $478.63	Professional		$70.79	$95.50	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $13.49 / $60.26	Facility		$10.47	$13.49	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $371.54	Professional		$87.10	$107.15	$371.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $251.19 / $457.09	Facility		$97.72	$251.19	$457.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $323.59 / $489.78	Professional		$131.83	$323.59	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $151.36	Facility		$95.50	$95.50	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $158.49	Professional		$81.28	$81.28	$158.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $147.91	Professional		$123.03	$123.03	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $338.84	Professional		$114.82	$173.78	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $85.11 / $112.20	Professional		$11.22	$85.11	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $181.97	Professional		$19.50	$19.50	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $102.33 / $138.04	Facility		$74.13	$102.33	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Professional		$81.28	$81.28	$109.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $208.93	Professional		$104.71	$134.90	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $56.23 / $89.13	Facility		$6.03	$56.23	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $190.55	Professional		$70.79	$87.10	$190.55