Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $173.78 / $436.52	Facility		$100.00	$173.78	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $323.59	Professional		$81.28	$81.28	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $93.33 / $190.55	Facility		$74.13	$93.33	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $346.74	Professional		$67.61	$81.28	$346.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $95.50 / $138.04	Facility		$85.11	$95.50	$138.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $186.21	Professional		$81.28	$95.50	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Facility		$77.62	$77.62	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $100.00	Professional		$81.28	$81.28	$100.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $91.20	Professional		$67.61	$67.61	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $275.42	Professional		$72.44	$89.13	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,778.28	Professional		$954.99	$954.99	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $102.33 / $354.81	Facility		$81.28	$102.33	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $218.78	Professional		$169.82	$218.78	$218.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $371.54	Professional		$173.78	$239.88	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $154.88	Professional		$81.28	$81.28	$154.88