Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.19 / $75.19 / $475.08	Facility		$75.19	$75.19	$475.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $75.19 / $475.08	Professional		$63.01	$75.19	$475.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $232.02 / $522.65	Facility		$57.10	$232.02	$522.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $76.13 / $133.96	Professional		$70.27	$76.13	$133.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $194.95 / $348.12	Facility		$96.60	$194.95	$348.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.99 / $218.47 / $508.88	Professional		$88.99	$218.47	$508.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.01 / $99.25 / $99.25	Facility		$77.01	$99.25	$99.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $166.88	Professional		$72.45	$72.45	$166.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $58.97 / $181.12	Professional		$49.14	$58.97	$181.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $115.26 / $255.21	Professional		$98.79	$115.26	$255.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $292.39 / $782.09 / $782.09	Facility		$292.39	$782.09	$782.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $790.32 / $790.32 / $1,179.00	Professional		$790.32	$790.32	$1,179.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.46 / $294.46 / $294.46	Professional		$294.46	$294.46	$294.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.32 / $140.10 / $164.65	Facility		$40.32	$140.10	$164.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $149.96	Professional		$72.45	$72.45	$149.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $310.77 / $310.77 / $310.77	Professional		$310.77	$310.77	$310.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $83.54 / $131.72	Professional		$49.14	$83.54	$131.72
United Facility/Professional Facility Modifier Low / Median / High Price $39.78 / $82.54 / $96.25	Facility		$39.78	$82.54	$96.25
United Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $75.27 / $166.13	Professional		$59.44	$75.27	$166.13