Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.89 / $192.75 / $426.36	Facility		$48.89	$192.75	$426.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $40.21 / $234.67	Professional		$33.15	$40.21	$234.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $4,417.00 / $9,381.00	Facility		$1,500.00	$4,417.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $56.50 / $118.30	Professional		$36.47	$56.50	$118.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $270.05 / $964.59	Facility		$92.60	$270.05	$964.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $58.32 / $115.14	Professional		$45.16	$58.32	$115.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.54 / $1,375.90 / $2,653.88	Facility		$203.54	$1,375.90	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $54.71 / $124.30	Professional		$37.74	$54.71	$124.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $52.52 / $70.90	Professional		$36.25	$52.52	$70.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $51.91 / $92.38	Professional		$39.40	$51.91	$92.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.44 / $181.68 / $214.42	Facility		$83.44	$181.68	$214.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $256.51 / $256.51 / $337.43	Professional		$256.51	$256.51	$337.43
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 $38.15 / $80.64 / $2,022.20	Facility		$38.15	$80.64	$2,022.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $53.58 / $123.67	Professional		$37.54	$53.58	$123.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $135.03 / $135.03 / $135.03	Professional		$135.03	$135.03	$135.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $50.75 / $61.63	Professional		$42.47	$50.75	$61.63
United Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $45.55 / $122.15	Professional		$34.96	$45.55	$122.15