Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $371.54 / $8,511.38	Facility		$218.78	$371.54	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $416.87	Professional		$173.78	$173.78	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $213.80 / $524.81	Facility		$186.21	$213.80	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $281.84	Professional		$120.23	$177.83	$281.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $125.89 / $309.03	Facility		$85.11	$125.89	$309.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $338.84	Professional		$177.83	$204.17	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $173.78	Facility		$162.18	$162.18	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $190.55	Professional		$173.78	$173.78	$190.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $234.42	Professional		$173.78	$173.78	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $323.59	Professional		$154.88	$190.55	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $173.78 / $295.12	Facility		$112.20	$173.78	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Professional		$173.78	$173.78	$218.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $295.12	Professional		$138.04	$190.55	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $398.11 / $398.11	Facility		$173.78	$398.11	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Professional		$173.78	$173.78	$218.78