Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.14 / $121.14 / $750.01	Facility		$121.14	$121.14	$750.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $121.14 / $750.01	Professional		$105.07	$121.14	$750.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.00 / $366.31 / $825.13	Facility		$92.00	$366.31	$825.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $122.85 / $223.61	Professional		$102.72	$122.85	$223.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $307.75 / $549.55	Facility		$97.00	$307.75	$549.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $344.90 / $803.39	Professional		$100.00	$344.90	$803.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.59 / $136.19 / $138.96	Facility		$121.59	$136.19	$138.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $99.43 / $145.19	Professional		$99.43	$99.43	$145.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.88 / $137.86 / $285.93	Professional		$114.88	$137.86	$285.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.96 / $181.96 / $402.91	Professional		$155.96	$181.96	$402.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $427.42 / $1,234.72 / $1,234.72	Facility		$427.42	$1,234.72	$1,234.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,247.71 / $1,247.71 / $1,512.75	Professional		$1,247.71	$1,247.71	$1,512.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $464.14 / $464.14 / $464.14	Professional		$464.14	$464.14	$464.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $222.42 / $259.94	Facility		$64.95	$222.42	$259.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $136.19 / $203.83	Professional		$99.43	$136.19	$203.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $490.63 / $490.63 / $490.63	Professional		$490.63	$490.63	$490.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.88 / $195.30 / $207.95	Professional		$114.88	$195.30	$207.95
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $91.37 / $100.63 / $252.99	Professional		$91.37	$100.63	$252.99