Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $269.15	Facility		$117.49	$117.49	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $269.15	Professional		$70.79	$107.15	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $112.20 / $281.84	Facility		$89.13	$112.20	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $120.23	Professional		$95.50	$120.23	$120.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $457.09 / $616.60	Facility		$100.00	$457.09	$616.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $323.59	Professional		$141.25	$234.42	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $134.90 / $134.90	Facility		$131.83	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $134.90	Professional		$97.72	$97.72	$134.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $165.96	Professional		$64.57	$138.04	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $186.21 / $338.84	Professional		$44.67	$186.21	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $87.10 / $229.09	Facility		$63.10	$87.10	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $134.90	Professional		$97.72	$97.72	$134.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $154.88 / $239.88	Professional		$51.29	$154.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $97.72 / $251.19	Facility		$16.22	$97.72	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $213.80	Professional		$66.07	$100.00	$213.80