Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $389.05	Facility		$100.00	$154.88	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $125.89	Professional		$72.44	$74.13	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $91.20 / $194.98	Facility		$79.43	$91.20	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $120.23	Professional		$61.66	$75.86	$120.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $79.43 / $125.89	Facility		$70.79	$79.43	$125.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $158.49	Professional		$74.13	$85.11	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $74.13	Facility		$69.18	$69.18	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $79.43	Professional		$74.13	$74.13	$79.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $100.00	Professional		$74.13	$74.13	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $141.25	Professional		$66.07	$81.28	$141.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $79.43 / $128.82	Facility		$74.13	$79.43	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $87.10	Professional		$74.13	$74.13	$87.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $125.89	Professional		$58.88	$81.28	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $173.78 / $173.78	Facility		$74.13	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $89.13	Professional		$74.13	$74.13	$89.13