Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $676.08	Facility		$69.18	$69.18	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $588.84	Professional		$56.23	$69.18	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $67.61 / $309.03	Facility		$52.48	$67.61	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $173.78	Professional		$70.79	$70.79	$173.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $269.15 / $363.08	Facility		$97.72	$269.15	$363.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $501.19	Professional		$151.36	$288.40	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $75.86 / $77.62	Facility		$72.44	$75.86	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $190.55	Professional		$74.13	$93.33	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $263.03	Professional		$95.50	$141.25	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $954.99	Professional		$812.83	$954.99	$954.99
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 $43.65 / $131.83 / $190.55	Facility		$43.65	$131.83	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $112.20	Professional		$54.95	$54.95	$112.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $141.25	Professional		$74.13	$112.20	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $57.54 / $158.49	Facility		$9.55	$57.54	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $154.88	Professional		$53.70	$66.07	$154.88