Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.44 / $87.21 / $2,264.00	Facility		$76.44	$87.21	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $76.44 / $346.29	Professional		$60.75	$76.44	$346.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $334.41 / $876.00	Facility		$9.18	$334.41	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $101.52 / $195.18	Professional		$76.34	$101.52	$195.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $128.83 / $580.46	Facility		$58.90	$128.83	$580.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $100.00 / $205.64	Professional		$78.50	$100.00	$205.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.81 / $223.50 / $441.93	Facility		$134.81	$223.50	$441.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $95.88 / $227.80	Professional		$65.75	$95.88	$227.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $88.96 / $120.10	Professional		$65.86	$88.96	$120.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $86.91 / $157.61	Professional		$65.93	$86.91	$157.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.62 / $418.95 / $418.95	Facility		$154.62	$418.95	$418.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $502.00 / $502.00 / $557.63	Professional		$502.00	$502.00	$557.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.19 / $109.06 / $311.56	Facility		$69.19	$109.06	$311.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $93.63 / $227.49	Professional		$65.30	$93.63	$227.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $259.55 / $259.55 / $259.55	Professional		$259.55	$259.55	$259.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $98.95 / $160.59	Professional		$71.95	$98.95	$160.59
United Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $78.47 / $218.91	Professional		$57.12	$78.47	$218.91