Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $295.12 / $575.44	Facility		$109.65	$295.12	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $190.55	Professional		$38.02	$61.66	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $120.23 / $257.04	Facility		$29.51	$120.23	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $120.23	Professional		$25.70	$43.65	$120.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $144.54 / $691.83	Facility		$60.26	$144.54	$691.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $147.91	Professional		$40.74	$58.88	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $87.10 / $190.55	Facility		$34.67	$87.10	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $44.67 / $77.62	Professional		$27.54	$44.67	$77.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $83.18	Professional		$51.29	$51.29	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $114.82	Professional		$41.69	$51.29	$114.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $61.66	Professional		$30.90	$61.66	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $61.66 / $138.04	Facility		$38.02	$61.66	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $107.15	Professional		$29.51	$44.67	$107.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $87.10	Professional		$41.69	$52.48	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $30.90 / $51.29	Facility		$23.44	$30.90	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $102.33	Professional		$21.88	$30.90	$102.33