Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $467.74	Facility		$58.88	$58.88	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $416.87	Professional		$46.77	$58.88	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $83.18 / $257.04	Facility		$66.07	$83.18	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $120.23	Professional		$75.86	$87.10	$120.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $190.55 / $251.19	Facility		$97.72	$190.55	$251.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $346.74	Professional		$104.71	$204.17	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $87.10	Professional		$74.13	$74.13	$87.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $131.83	Professional		$57.54	$72.44	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $229.09	Professional		$69.18	$109.65	$229.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $812.83	Professional		$562.34	$812.83	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $104.71 / $131.83	Facility		$33.11	$104.71	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $104.71	Professional		$74.13	$74.13	$104.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $100.00	Professional		$57.54	$87.10	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $64.57 / $134.90	Facility		$8.13	$64.57	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $109.65	Professional		$46.77	$58.88	$109.65