Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $49.95 / $338.09	Facility		$28.50	$49.95	$338.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $49.95 / $137.86	Professional		$29.12	$49.95	$137.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $40.35 / $4,604.00	Facility		$32.01	$40.35	$4,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $60.41 / $132.13	Professional		$34.22	$60.41	$132.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $1,588.01	Facility		$65.80	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $53.94 / $111.84	Professional		$32.19	$53.94	$111.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $56.03 / $146.51	Professional		$29.31	$56.03	$146.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $30.06 / $77.01	Professional		$25.34	$30.06	$77.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $58.02 / $104.84	Professional		$25.14	$58.02	$104.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $122.31 / $135.88	Facility		$55.00	$122.31	$135.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $417.68 / $474.15	Professional		$316.00	$417.68	$474.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $48.77 / $89.91	Facility		$28.65	$48.77	$89.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $59.36 / $145.80	Professional		$30.57	$59.36	$145.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $86.26 / $86.26 / $177.62	Professional		$86.26	$86.26	$177.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $30.32 / $77.80	Professional		$22.05	$30.32	$77.80
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,506.00 / $6,323.00	Facility		$466.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $63.78 / $177.82	Professional		$41.64	$63.78	$177.82