Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $501.19 / $977.24	Facility		$181.97	$501.19	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $575.44	Professional		$64.57	$91.20	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $204.17 / $436.52	Facility		$50.12	$204.17	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $204.17	Professional		$42.66	$74.13	$204.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $245.47 / $1,174.90	Facility		$63.10	$245.47	$1,174.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $245.47	Professional		$69.18	$100.00	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $144.54 / $316.23	Facility		$58.88	$144.54	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $85.11 / $154.88	Professional		$51.29	$85.11	$154.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $104.71	Professional		$87.10	$87.10	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $190.55	Professional		$69.18	$87.10	$190.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $87.10 / $87.10	Professional		$43.65	$87.10	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $104.71 / $257.04	Facility		$63.10	$104.71	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $199.53	Professional		$51.29	$79.43	$199.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $147.91	Professional		$69.18	$89.13	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $52.48 / $87.10	Facility		$38.90	$52.48	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $173.78	Professional		$36.31	$52.48	$173.78