Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $55.10 / $289.22	Facility		$55.10	$55.10	$289.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $55.10 / $279.89	Professional		$45.59	$55.10	$279.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $152.07 / $318.22	Facility		$41.84	$152.07	$318.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $53.72 / $95.50	Professional		$50.10	$53.72	$95.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $94.77 / $118.66 / $211.89	Facility		$94.77	$118.66	$211.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $133.02 / $309.83	Professional		$54.18	$133.02	$309.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $79.63	Facility		$57.32	$57.32	$79.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $41.84 / $118.88	Professional		$41.84	$41.84	$118.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $25.63 / $110.28	Professional		$21.36	$25.63	$110.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $70.18 / $152.38	Professional		$40.00	$70.18	$152.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $172.52 / $478.20 / $478.20	Facility		$172.52	$478.20	$478.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $516.82 / $516.82 / $751.88	Professional		$516.82	$516.82	$751.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $211.53 / $211.53 / $211.53	Professional		$211.53	$211.53	$211.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $87.78 / $103.19	Facility		$29.54	$87.78	$103.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $41.84 / $97.90	Professional		$41.84	$41.84	$97.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $189.20 / $189.20 / $189.20	Professional		$189.20	$189.20	$189.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $36.31 / $80.20	Professional		$21.36	$36.31	$80.20
United Facility/Professional Facility Modifier Low / Median / High Price $103.97 / $122.32 / $122.32	Facility		$103.97	$122.32	$122.32
United Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $45.77 / $97.56	Professional		$41.55	$45.77	$97.56