Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.90 / $81.17 / $2,264.00	Facility		$72.90	$81.17	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $79.70 / $484.05	Professional		$61.19	$79.70	$484.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $417.97 / $876.00	Facility		$33.88	$417.97	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $99.55 / $211.32	Professional		$73.25	$99.55	$211.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $99.00 / $226.42	Facility		$53.61	$99.00	$226.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $90.98 / $209.84	Professional		$68.81	$90.98	$209.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.01 / $249.48 / $452.00	Facility		$113.01	$249.48	$452.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $108.62 / $231.12	Professional		$71.56	$108.62	$231.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $108.62 / $146.63	Professional		$58.75	$108.62	$146.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $109.09 / $206.89	Professional		$84.13	$109.09	$206.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $184.07 / $381.47 / $446.69	Facility		$184.07	$381.47	$446.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $548.32 / $553.87 / $702.45	Professional		$548.32	$553.87	$702.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $49.61	Professional		$32.34	$32.34	$49.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.88 / $117.61 / $198.04	Facility		$79.88	$117.61	$198.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $119.58 / $229.08	Professional		$72.72	$119.58	$229.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $278.52 / $278.52 / $278.52	Professional		$278.52	$278.52	$278.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.85 / $117.98 / $143.26	Professional		$87.85	$117.98	$143.26
United Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $84.81 / $233.03	Professional		$52.86	$84.81	$233.03