Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $575.44	Facility		$69.18	$69.18	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $512.86	Professional		$52.48	$70.79	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $66.07 / $281.84	Facility		$52.48	$66.07	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $147.91	Professional		$69.18	$69.18	$147.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $234.42 / $309.03	Facility		$97.72	$234.42	$309.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $251.19 / $426.58	Professional		$128.82	$251.19	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $91.20 / $91.20	Facility		$61.66	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $91.20	Professional		$67.61	$67.61	$91.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $162.18	Professional		$57.54	$70.79	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $223.87	Professional		$81.28	$123.03	$223.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $977.24	Professional		$724.44	$977.24	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $123.03 / $169.82	Facility		$44.67	$123.03	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $117.49	Professional		$67.61	$67.61	$117.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $123.03	Professional		$57.54	$85.11	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $56.23 / $154.88	Facility		$9.55	$56.23	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $134.90	Professional		$52.48	$64.57	$134.90