Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.19 / $108.19 / $529.45	Facility		$108.19	$108.19	$529.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $108.19 / $529.45	Professional		$84.13	$108.19	$529.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.16 / $281.32 / $582.52	Facility		$82.16	$281.32	$582.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $109.55 / $199.72	Professional		$87.88	$109.55	$199.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $217.25 / $387.94	Facility		$96.60	$217.25	$387.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $243.49 / $567.16	Professional		$99.18	$243.49	$567.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.83 / $116.53 / $116.53	Facility		$85.83	$116.53	$116.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $208.88	Professional		$85.07	$85.07	$208.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $98.40 / $201.86	Professional		$82.00	$98.40	$201.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.11 / $128.46 / $284.44	Professional		$110.11	$128.46	$284.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $365.68 / $947.19 / $947.19	Facility		$365.68	$947.19	$947.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.23 / $1,138.23 / $1,351.05	Professional		$1,138.23	$1,138.23	$1,351.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $434.64 / $434.64 / $434.64	Professional		$434.64	$434.64	$434.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.02 / $162.22 / $193.12	Facility		$58.02	$162.22	$193.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $209.92	Professional		$85.07	$85.07	$209.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $346.35 / $346.35 / $346.35	Professional		$346.35	$346.35	$346.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $139.40 / $146.81	Professional		$82.00	$139.40	$146.81
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $89.87 / $183.51	Professional		$81.59	$89.87	$183.51