Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $79.69 / $510.40	Facility		$79.69	$79.69	$510.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $79.69 / $510.40	Professional		$65.67	$79.69	$510.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.52 / $249.29 / $561.53	Facility		$60.52	$249.29	$561.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $79.14 / $150.63	Professional		$78.00	$79.14	$150.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $209.42 / $373.97	Facility		$96.60	$209.42	$373.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $234.72 / $546.76	Professional		$95.61	$234.72	$546.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.68 / $106.22 / $106.22	Facility		$82.68	$106.22	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $113.24	Professional		$77.54	$77.54	$113.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $63.17 / $194.59	Professional		$52.64	$63.17	$194.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $123.83 / $274.20	Professional		$106.14	$123.83	$274.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $371.42 / $840.28 / $840.28	Facility		$371.42	$840.28	$840.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,419.30 / $1,453.37 / $1,453.37	Professional		$1,419.30	$1,453.37	$1,453.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $531.23 / $531.23 / $531.23	Professional		$531.23	$531.23	$531.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.73 / $152.88 / $179.47	Facility		$42.73	$152.88	$179.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $106.22 / $129.57	Professional		$77.54	$106.22	$129.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $333.89 / $333.89 / $333.89	Professional		$333.89	$333.89	$333.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $89.49 / $141.52	Professional		$52.64	$89.49	$141.52
United Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $60.10 / $65.59	Facility		$41.61	$60.10	$65.59
United Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $66.19 / $171.17	Professional		$60.10	$66.19	$171.17