Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.80 / $362.64 / $829.63	Facility		$84.80	$362.64	$829.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $84.80 / $516.78	Professional		$56.26	$84.80	$516.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $189.57 / $470.78	Facility		$88.06	$189.57	$470.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $63.29 / $173.57	Professional		$13.23	$63.29	$173.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $155.44 / $1,019.05	Facility		$59.30	$155.44	$1,019.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $71.14 / $131.57	Professional		$49.80	$71.14	$131.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $103.44 / $259.11	Facility		$52.82	$103.44	$259.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.15 / $97.88 / $163.85	Professional		$50.15	$97.88	$163.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $80.37 / $128.59	Professional		$80.37	$80.37	$128.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $80.37 / $175.21	Professional		$64.30	$80.37	$175.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $381.76 / $381.76	Facility		$168.00	$381.76	$381.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.18 / $40.18 / $40.18	Professional		$40.18	$40.18	$40.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $92.99 / $208.13	Facility		$58.53	$92.99	$208.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $80.37 / $160.74	Professional		$52.42	$80.37	$160.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $282.08 / $282.08	Professional		$282.08	$282.08	$282.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $80.37 / $112.52	Professional		$64.30	$80.37	$112.52
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $47.14 / $154.38	Professional		$33.76	$47.14	$154.38