Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.98 / $252.20 / $576.99	Facility		$58.98	$252.20	$576.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $65.27 / $350.43	Professional		$41.49	$65.27	$350.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.24 / $134.81 / $331.66	Facility		$61.24	$134.81	$331.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $44.02 / $113.14	Professional		$27.60	$44.02	$113.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $108.13 / $708.97	Facility		$59.30	$108.13	$708.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $49.48 / $100.00	Professional		$34.64	$49.48	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $72.31 / $187.10	Facility		$36.72	$72.31	$187.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $64.43 / $85.19	Professional		$29.85	$64.43	$85.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $55.89 / $99.00	Professional		$55.89	$55.89	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $55.89 / $121.84	Professional		$44.71	$55.89	$121.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $265.48 / $265.48	Facility		$117.00	$265.48	$265.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $33.53 / $33.53	Professional		$33.53	$33.53	$33.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $64.67 / $138.78	Facility		$36.33	$64.67	$138.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $55.89 / $83.86	Professional		$30.27	$55.89	$83.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $196.17 / $196.17 / $196.17	Professional		$196.17	$196.17	$196.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $55.89 / $78.25	Professional		$44.71	$55.89	$78.25
United Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $33.53 / $111.21	Professional		$23.47	$33.53	$111.21