Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.26 / $86.26 / $452.77	Facility		$86.26	$86.26	$452.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $86.26 / $452.77	Professional		$56.77	$86.26	$452.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.50 / $138.94 / $336.95	Facility		$65.50	$138.94	$336.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $84.10 / $98.73	Professional		$78.41	$84.10	$98.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $185.77 / $331.73	Facility		$96.60	$185.77	$331.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $169.62 / $396.66	Professional		$84.81	$169.62	$396.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.39 / $76.68 / $83.87	Facility		$73.39	$76.68	$83.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $55.98 / $81.73	Professional		$55.98	$55.98	$81.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $86.99 / $104.21	Professional		$78.29	$86.99	$104.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $92.13 / $204.01	Professional		$60.89	$92.13	$204.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $188.17 / $469.03 / $469.03	Facility		$188.17	$469.03	$469.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $668.30 / $668.30 / $722.25	Professional		$668.30	$668.30	$722.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.44 / $218.44 / $218.44	Professional		$218.44	$218.44	$218.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $86.99 / $125.81	Facility		$46.25	$86.99	$125.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $76.68 / $101.35	Professional		$55.98	$76.68	$101.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $296.18 / $296.18 / $296.18	Professional		$296.18	$296.18	$296.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $83.37 / $108.38	Professional		$69.59	$83.37	$108.38
United Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $65.05 / $71.01	Facility		$11.84	$65.05	$71.01
United Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $71.65 / $150.57	Professional		$59.71	$71.65	$150.57