Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $602.56	Facility		$61.66	$61.66	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $524.81	Professional		$46.77	$61.66	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $60.26 / $269.15	Facility		$46.77	$60.26	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $158.49	Professional		$60.26	$63.10	$158.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $239.88 / $323.59	Facility		$97.72	$239.88	$323.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $446.68	Professional		$134.90	$257.04	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $75.86	Facility		$64.57	$75.86	$75.86
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 $57.54 / $70.79 / $169.82	Professional		$57.54	$70.79	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $229.09	Professional		$85.11	$125.89	$229.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $851.14	Professional		$691.83	$851.14	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $117.49 / $169.82	Facility		$38.90	$117.49	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $109.65	Professional		$54.95	$54.95	$109.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $125.89	Professional		$57.54	$85.11	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $51.29 / $141.25	Facility		$8.51	$51.29	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $138.04	Professional		$47.86	$60.26	$138.04