Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $616.60	Facility		$77.62	$77.62	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $549.54	Professional		$61.66	$77.62	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $323.59	Facility		$60.26	$75.86	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $177.83	Professional		$79.43	$81.28	$177.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $251.19 / $331.13	Facility		$97.72	$251.19	$331.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $269.15 / $457.09	Professional		$138.04	$269.15	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $81.28 / $97.72	Facility		$66.07	$81.28	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Professional		$60.26	$60.26	$81.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $173.78	Professional		$74.13	$91.20	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $239.88	Professional		$89.13	$131.83	$239.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,071.52	Professional		$741.31	$1,071.52	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $131.83 / $181.97	Facility		$48.98	$131.83	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $138.04	Professional		$60.26	$60.26	$138.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $131.83	Professional		$74.13	$109.65	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $64.57 / $177.83	Facility		$10.72	$64.57	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $144.54	Professional		$60.26	$70.79	$144.54