Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.63 / $90.63 / $580.50	Facility		$90.63	$90.63	$580.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $90.63 / $136.09	Professional		$79.38	$90.63	$136.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.83 / $283.52 / $638.66	Facility		$68.83	$283.52	$638.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $91.38 / $164.65	Professional		$86.37	$91.38	$164.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $238.21 / $425.37	Facility		$98.20	$238.21	$425.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $266.95 / $621.84	Professional		$100.00	$266.95	$621.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.04 / $97.79 / $107.54	Facility		$94.04	$97.79	$107.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $71.39 / $104.26	Professional		$71.39	$71.39	$104.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $92.34 / $221.32	Professional		$76.95	$92.34	$221.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $140.84 / $311.86	Professional		$120.72	$140.84	$311.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $359.39 / $955.70 / $955.70	Facility		$359.39	$955.70	$955.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.98 / $1,001.98 / $1,131.75	Professional		$1,001.98	$1,001.98	$1,131.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $585.02 / $585.02 / $585.02	Professional		$585.02	$585.02	$585.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $173.88 / $201.20	Facility		$48.60	$173.88	$201.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $97.79 / $147.36	Professional		$71.39	$97.79	$147.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $379.74 / $379.74 / $379.74	Professional		$379.74	$379.74	$379.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $130.82 / $160.96	Professional		$76.95	$130.82	$160.96
United Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $68.34 / $74.61	Facility		$12.44	$68.34	$74.61
United Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $75.41 / $202.99	Professional		$68.34	$75.41	$202.99