Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $232.78 / $756.04	Facility		$85.82	$232.78	$756.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $85.82 / $97.27	Professional		$62.36	$85.82	$97.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.76 / $269.91 / $581.29	Facility		$148.76	$269.91	$581.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $65.90 / $127.02	Professional		$45.77	$65.90	$127.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $1,076.79	Facility		$58.90	$100.00	$1,076.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $74.38 / $141.32	Professional		$52.07	$74.38	$141.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.79 / $150.25 / $368.92	Facility		$77.79	$150.25	$368.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $139.59 / $174.49	Professional		$82.02	$139.59	$174.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $114.43 / $125.87	Professional		$91.54	$114.43	$125.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $114.43 / $200.25	Professional		$91.54	$114.43	$200.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $183.09 / $543.54 / $543.54	Facility		$183.09	$543.54	$543.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $57.21	Professional		$20.00	$20.00	$57.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $114.43 / $268.47	Facility		$69.00	$114.43	$268.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $108.71 / $125.87	Professional		$82.02	$108.71	$125.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Professional		$114.43	$114.43	$114.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $102.52 / $128.16	Professional		$91.54	$102.52	$128.16
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $219.82	Professional		$48.06	$48.06	$219.82