Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $204.64 / $381.95	Facility		$49.91	$204.64	$381.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $56.14 / $148.56	Professional		$41.14	$56.14	$148.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $272.94 / $876.00	Facility		$46.67	$272.94	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $49.90 / $103.67	Professional		$26.50	$49.90	$103.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.61 / $100.00 / $307.64	Facility		$56.61	$100.00	$307.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $58.73 / $121.04	Professional		$45.55	$58.73	$121.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.89 / $245.92 / $483.01	Facility		$124.89	$245.92	$483.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $59.42 / $139.00	Professional		$34.72	$59.42	$139.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $68.54 / $92.53	Professional		$24.56	$68.54	$92.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $68.54 / $114.52	Professional		$52.36	$68.54	$114.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.88 / $359.91 / $359.91	Facility		$110.88	$359.91	$359.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $352.17 / $352.17 / $458.18	Professional		$352.17	$352.17	$458.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $62.55	Professional		$32.34	$32.34	$62.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.72 / $71.31 / $167.29	Facility		$46.72	$71.31	$167.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $69.56 / $148.25	Professional		$38.00	$69.56	$148.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $173.82 / $173.82 / $173.82	Professional		$173.82	$173.82	$173.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $55.40 / $76.18	Professional		$31.93	$55.40	$76.18
United Facility/Professional Facility Modifier Low / Median / High Price $63.17 / $63.17 / $63.17	Facility		$63.17	$63.17	$63.17
United Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $54.13 / $149.77	Professional		$31.80	$54.13	$149.77