Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $478.63	Facility		$60.26	$60.26	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $416.87	Professional		$46.77	$60.26	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $57.54 / $245.47	Facility		$45.71	$57.54	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $134.90	Professional		$58.88	$58.88	$134.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $190.55 / $257.04	Facility		$97.72	$190.55	$257.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $354.81	Professional		$104.71	$204.17	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $66.07	Professional		$48.98	$48.98	$66.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $134.90	Professional		$22.91	$28.18	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $181.97	Professional		$66.07	$100.00	$181.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $812.83	Professional		$562.34	$812.83	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $107.15 / $138.04	Facility		$33.88	$107.15	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $107.15	Professional		$48.98	$48.98	$107.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $100.00	Professional		$22.91	$33.88	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $48.98 / $134.90	Facility		$8.32	$48.98	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $109.65	Professional		$45.71	$54.95	$109.65