Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $316.23 / $630.96	Facility		$117.49	$316.23	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $363.08	Professional		$41.69	$64.57	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $128.82 / $281.84	Facility		$32.36	$128.82	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $47.86 / $131.83	Professional		$27.54	$47.86	$131.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $158.49 / $758.58	Facility		$60.26	$158.49	$758.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $158.49	Professional		$44.67	$64.57	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $93.33 / $204.17	Facility		$37.15	$93.33	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $85.11	Professional		$29.51	$44.67	$85.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $89.13	Professional		$56.23	$56.23	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $123.03	Professional		$44.67	$56.23	$123.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $67.61 / $67.61	Professional		$33.88	$67.61	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $67.61 / $147.91	Facility		$38.90	$67.61	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $117.49	Professional		$29.51	$44.67	$117.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $95.50	Professional		$44.67	$57.54	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $56.23	Facility		$25.12	$33.88	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $112.20	Professional		$23.44	$33.88	$112.20