Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $707.95	Facility		$75.86	$75.86	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $630.96	Professional		$61.66	$75.86	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $72.44 / $331.13	Facility		$57.54	$72.44	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $181.97	Professional		$75.86	$75.86	$181.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $288.40 / $389.05	Facility		$97.72	$288.40	$389.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $309.03 / $524.81	Professional		$158.49	$309.03	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $100.00 / $100.00	Facility		$77.62	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $100.00	Professional		$72.44	$72.44	$100.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $199.53	Professional		$48.98	$61.66	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $275.42	Professional		$100.00	$151.36	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,174.90	Professional		$794.33	$1,174.90	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $144.54 / $199.53	Facility		$53.70	$144.54	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $147.91	Professional		$72.44	$72.44	$147.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $151.36	Professional		$48.98	$74.13	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $83.18 / $169.82	Facility		$10.23	$83.18	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $165.96	Professional		$58.88	$75.86	$165.96