Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $776.25	Facility		$79.43	$79.43	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $676.08	Professional		$60.26	$81.28	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $77.62 / $346.74	Facility		$60.26	$77.62	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $194.98	Professional		$79.43	$81.28	$194.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $316.23 / $416.87	Facility		$97.72	$316.23	$416.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $575.44	Professional		$169.82	$331.13	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $107.15 / $107.15	Facility		$83.18	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $107.15	Professional		$77.62	$77.62	$107.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $218.78	Professional		$52.48	$66.07	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $295.12	Professional		$107.15	$162.18	$295.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $154.88 / $218.78	Facility		$44.67	$154.88	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $128.82	Professional		$77.62	$77.62	$128.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $162.18	Professional		$52.48	$79.43	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $66.07 / $181.97	Facility		$10.96	$66.07	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $177.83	Professional		$61.66	$77.62	$177.83