Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.02 / $120.02 / $768.74	Facility		$120.02	$120.02	$768.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.14 / $120.02 / $768.74	Professional		$91.14	$120.02	$768.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.14 / $375.47 / $845.76	Facility		$91.14	$375.47	$845.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $122.08 / $247.79	Professional		$122.08	$122.08	$247.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $315.44 / $563.28	Facility		$97.00	$315.44	$563.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $353.52 / $823.46	Professional		$100.00	$353.52	$823.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.61 / $172.35 / $172.35	Facility		$124.61	$172.35	$172.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $125.82 / $177.52	Professional		$125.82	$125.82	$177.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $77.33 / $293.08	Professional		$64.44	$77.33	$293.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.86 / $186.51 / $412.98	Professional		$159.86	$186.51	$412.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $452.71 / $1,046.34 / $1,265.58	Facility		$452.71	$1,046.34	$1,265.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,431.09 / $1,465.43 / $1,498.73	Professional		$1,431.09	$1,465.43	$1,498.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $497.61 / $497.61 / $497.61	Professional		$497.61	$497.61	$497.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $231.43 / $270.04	Facility		$64.36	$231.43	$270.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $172.35 / $204.97	Professional		$125.82	$172.35	$204.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $502.89 / $502.89 / $502.89	Professional		$502.89	$502.89	$502.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $109.55 / $213.15	Professional		$64.44	$109.55	$213.15
United Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $131.74 / $153.62	Facility		$16.47	$131.74	$153.62
United Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $120.14 / $266.44	Professional		$93.84	$120.14	$266.44