Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.61 / $353.25 / $808.15	Facility		$82.61	$353.25	$808.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $82.61 / $503.21	Professional		$41.48	$82.61	$503.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.75 / $184.59 / $458.42	Facility		$85.75	$184.59	$458.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $61.64 / $158.44	Professional		$38.65	$61.64	$158.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $151.41 / $992.81	Facility		$59.30	$151.41	$992.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $69.29 / $128.16	Professional		$48.50	$69.29	$128.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $101.28 / $261.98	Facility		$51.45	$101.28	$261.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $95.40 / $143.31	Professional		$51.94	$95.40	$143.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $78.26 / $125.22	Professional		$78.26	$78.26	$125.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $78.26 / $170.61	Professional		$62.61	$78.26	$170.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $386.85 / $386.85	Facility		$140.00	$386.85	$386.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $39.13 / $39.13	Professional		$39.13	$39.13	$39.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $93.01 / $223.63	Facility		$41.48	$93.01	$223.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $78.26 / $156.52	Professional		$51.94	$78.26	$156.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $274.69 / $274.69 / $274.69	Professional		$274.69	$274.69	$274.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $78.26 / $109.56	Professional		$62.61	$78.26	$109.56
United Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $46.96 / $57.67	Facility		$35.22	$46.96	$57.67
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $46.55 / $151.31	Professional		$32.86	$46.55	$151.31