Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $794.33	Facility		$107.15	$107.15	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $707.95	Professional		$83.18	$107.15	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $104.71 / $436.52	Facility		$81.28	$104.71	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $245.47	Professional		$109.65	$109.65	$245.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $331.13 / $426.58	Facility		$97.72	$331.13	$426.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $588.84	Professional		$177.83	$346.74	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $117.49	Facility		$85.11	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $117.49	Professional		$85.11	$85.11	$117.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $223.87	Professional		$81.28	$102.33	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $309.03	Professional		$117.49	$169.82	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,348.96	Professional		$1,148.15	$1,348.96	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $181.97 / $245.47	Facility		$61.66	$181.97	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $208.93	Professional		$85.11	$85.11	$208.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $169.82	Professional		$81.28	$123.03	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $89.13 / $245.47	Facility		$14.79	$89.13	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $186.21	Professional		$83.18	$91.20	$186.21