Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $501.19	Facility		$51.29	$51.29	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $436.52	Professional		$38.02	$51.29	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $50.12 / $229.09	Facility		$39.81	$50.12	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $53.70 / $125.89	Professional		$52.48	$53.70	$125.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $199.53 / $269.15	Facility		$97.72	$199.53	$269.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $371.54	Professional		$112.20	$218.78	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $57.54	Facility		$53.70	$53.70	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $53.70	Professional		$39.81	$39.81	$53.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $141.25	Professional		$53.70	$67.61	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $194.98	Professional		$70.79	$104.71	$194.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $100.00 / $141.25	Facility		$29.51	$100.00	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $104.71	Professional		$39.81	$39.81	$104.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $104.71	Professional		$53.70	$81.28	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $42.66 / $117.49	Facility		$7.08	$42.66	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $117.49	Professional		$39.81	$50.12	$117.49