Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $70.54 / $451.83	Facility		$70.54	$70.54	$451.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $70.54 / $451.83	Professional		$54.08	$70.54	$451.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.57 / $220.68 / $497.10	Facility		$53.57	$220.68	$497.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $71.42 / $140.10	Professional		$71.42	$71.42	$140.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $185.39 / $331.04	Facility		$95.50	$185.39	$331.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $207.78 / $483.99	Professional		$84.64	$207.78	$483.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.23 / $97.44 / $97.44	Facility		$73.23	$97.44	$97.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $71.13 / $103.88	Professional		$71.13	$71.13	$103.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $90.72 / $172.26	Professional		$75.59	$90.72	$172.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $109.62 / $242.73	Professional		$93.96	$109.62	$242.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $305.80 / $743.85 / $743.85	Facility		$305.80	$743.85	$743.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $751.68 / $751.68 / $932.03	Professional		$751.68	$751.68	$932.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $265.43 / $265.43 / $265.43	Professional		$265.43	$265.43	$265.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $129.47 / $156.60	Facility		$37.83	$129.47	$156.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $97.44 / $124.40	Professional		$71.13	$97.44	$124.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $295.57 / $295.57 / $295.57	Professional		$295.57	$295.57	$295.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $125.28 / $125.28	Professional		$75.59	$125.28	$125.28
United Facility/Professional Facility Modifier Low / Median / High Price $133.11 / $156.60 / $156.60	Facility		$133.11	$156.60	$156.60
United Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $68.81 / $149.00	Professional		$55.15	$68.81	$149.00