Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.59 / $103.59 / $543.71	Facility		$103.59	$103.59	$543.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.34 / $103.59 / $543.71	Professional		$82.34	$103.59	$543.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.67 / $285.93 / $598.20	Facility		$78.67	$285.93	$598.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $101.01 / $179.56	Professional		$94.19	$101.01	$179.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $223.12 / $398.42	Facility		$96.60	$223.12	$398.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $250.04 / $582.41	Professional		$100.00	$250.04	$582.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $149.71	Facility		$107.78	$107.78	$149.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $78.68 / $114.90	Professional		$78.68	$78.68	$114.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $24.77 / $207.30	Professional		$20.64	$24.77	$207.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $131.91 / $286.44	Professional		$40.00	$131.91	$286.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $324.37 / $899.12 / $899.12	Facility		$324.37	$899.12	$899.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $972.15 / $972.15 / $1,413.38	Professional		$972.15	$972.15	$1,413.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $397.92 / $397.92 / $397.92	Professional		$397.92	$397.92	$397.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $165.01 / $194.11	Facility		$55.55	$165.01	$194.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $107.78 / $179.37	Professional		$78.68	$107.78	$179.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $355.68 / $355.68 / $355.68	Professional		$355.68	$355.68	$355.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $35.09 / $150.76	Professional		$20.64	$35.09	$150.76
United Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $78.14 / $85.28	Facility		$14.21	$78.14	$85.28
United Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $86.05 / $183.41	Professional		$78.14	$86.05	$183.41