Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $338.84	Facility		$45.71	$45.71	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $295.12	Professional		$36.31	$45.71	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $45.71 / $186.21	Facility		$35.48	$45.71	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $85.11	Professional		$53.70	$53.70	$85.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $138.04 / $181.97	Facility		$81.28	$138.04	$181.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $251.19	Professional		$87.10	$147.91	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $48.98 / $48.98	Facility		$36.31	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $48.98	Professional		$35.48	$35.48	$48.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $95.50	Professional		$37.15	$45.71	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $138.04	Professional		$47.86	$70.79	$138.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $588.84	Professional		$512.86	$588.84	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $77.62 / $104.71	Facility		$26.30	$77.62	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $75.86	Professional		$35.48	$35.48	$75.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $70.79	Professional		$37.15	$54.95	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $51.29 / $107.15	Facility		$6.46	$51.29	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $79.43	Professional		$36.31	$45.71	$79.43