Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $912.01	Facility		$114.82	$114.82	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $794.33	Professional		$83.18	$114.82	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $109.65 / $478.63	Facility		$87.10	$109.65	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $257.04	Professional		$117.49	$117.49	$257.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $363.08 / $489.78	Facility		$100.00	$363.08	$489.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $676.08	Professional		$199.53	$389.05	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $120.23 / $120.23	Facility		$97.72	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $257.04	Professional		$77.62	$97.72	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $346.74	Professional		$125.89	$190.55	$346.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,445.44	Professional		$1,148.15	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $186.21 / $263.03	Facility		$64.57	$186.21	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $199.53	Professional		$87.10	$87.10	$199.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $190.55	Professional		$77.62	$117.49	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $93.33 / $257.04	Facility		$15.85	$93.33	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $213.80	Professional		$87.10	$102.33	$213.80