Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.63 / $69.63 / $446.03	Facility		$69.63	$69.63	$446.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.90 / $69.63 / $446.03	Professional		$55.90	$69.63	$446.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.88 / $217.85 / $490.72	Facility		$52.88	$217.85	$490.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $70.61 / $109.44	Professional		$57.17	$70.61	$109.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $183.01 / $326.81	Facility		$95.50	$183.01	$326.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $205.11 / $477.80	Professional		$83.55	$205.11	$477.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.30 / $75.81 / $82.63	Facility		$72.30	$75.81	$82.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $55.35 / $78.09	Professional		$55.35	$55.35	$78.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $89.80 / $170.05	Professional		$74.83	$89.80	$170.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.75 / $108.21 / $239.61	Professional		$92.75	$108.21	$239.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $237.92 / $608.40 / $734.30	Facility		$237.92	$608.40	$734.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $798.48 / $817.65 / $963.45	Professional		$798.48	$817.65	$963.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $307.02 / $307.02 / $307.02	Professional		$307.02	$307.02	$307.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.34 / $131.40 / $154.59	Facility		$37.34	$131.40	$154.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $75.81 / $113.23	Professional		$55.35	$75.81	$113.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $291.77 / $291.77 / $291.77	Professional		$291.77	$291.77	$291.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $123.67 / $123.67	Professional		$74.83	$123.67	$123.67
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $57.84 / $143.41	Professional		$52.52	$57.84	$143.41