Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.77 / $392.43 / $897.79	Facility		$91.77	$392.43	$897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $91.77 / $545.24	Professional		$57.39	$91.77	$545.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.28 / $203.00 / $475.00	Facility		$95.28	$203.00	$475.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $68.48 / $176.05	Professional		$42.94	$68.48	$176.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $168.24 / $1,102.85	Facility		$59.40	$168.24	$1,102.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $76.98 / $142.38	Professional		$53.89	$76.98	$142.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.10 / $112.53 / $291.08	Facility		$59.10	$112.53	$291.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $105.88 / $154.80	Professional		$56.87	$105.88	$154.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $86.96 / $139.13	Professional		$86.96	$86.96	$139.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $86.96 / $189.57	Professional		$69.56	$86.96	$189.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $413.06 / $413.06	Facility		$182.00	$413.06	$413.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $43.48 / $43.48	Professional		$43.48	$43.48	$43.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.33 / $104.01 / $248.49	Facility		$63.33	$104.01	$248.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $86.96 / $173.92	Professional		$57.73	$86.96	$173.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $305.22 / $305.22 / $305.22	Professional		$305.22	$305.22	$305.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $86.96 / $121.74	Professional		$69.56	$86.96	$121.74
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $51.73 / $168.10	Professional		$36.52	$51.73	$168.10