Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.15 / $54.15 / $346.86	Facility		$54.15	$54.15	$346.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.11 / $54.15 / $346.86	Professional		$43.11	$54.15	$346.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.12 / $169.40 / $381.58	Facility		$41.12	$169.40	$381.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $54.49 / $86.02	Professional		$46.33	$54.49	$86.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $142.33 / $254.15	Facility		$96.60	$142.33	$254.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $159.50 / $371.55	Professional		$64.97	$159.50	$371.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.22 / $59.82 / $64.26	Facility		$56.22	$59.82	$64.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $43.67 / $63.77	Professional		$43.67	$43.67	$63.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $38.44 / $132.22	Professional		$32.03	$38.44	$132.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $84.15 / $186.33	Professional		$72.13	$84.15	$186.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $187.75 / $477.03 / $571.00	Facility		$187.75	$477.03	$571.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $629.15 / $644.27 / $719.63	Professional		$629.15	$644.27	$719.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.79 / $227.79 / $227.79	Professional		$227.79	$227.79	$227.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $105.26 / $121.65	Facility		$29.04	$105.26	$121.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $59.82 / $114.42	Professional		$43.67	$59.82	$114.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $226.90 / $226.90 / $226.90	Professional		$226.90	$226.90	$226.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $54.45 / $96.17	Professional		$32.03	$54.45	$96.17
United Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $120.21 / $120.21	Facility		$102.18	$120.21	$120.21
United Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $54.20 / $116.32	Professional		$42.34	$54.20	$116.32