Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.43 / $198.53 / $454.20	Facility		$46.43	$198.53	$454.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $41.90 / $238.72	Professional		$23.32	$41.90	$238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $106.10 / $312.00	Facility		$48.20	$106.10	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $34.65 / $85.79	Professional		$21.72	$34.65	$85.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $558.05	Facility		$58.90	$100.00	$558.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $38.95 / $100.00	Professional		$27.27	$38.95	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.27 / $56.93 / $147.24	Facility		$30.27	$56.93	$147.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $53.69 / $85.41	Professional		$29.21	$53.69	$85.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $43.99 / $99.00	Professional		$43.99	$43.99	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $43.99 / $95.90	Professional		$35.19	$43.99	$95.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $231.15 / $379.10 / $379.10	Facility		$231.15	$379.10	$379.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $21.99 / $21.99	Professional		$21.99	$21.99	$21.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.32 / $50.89 / $126.40	Facility		$23.32	$50.89	$126.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $43.99 / $87.98	Professional		$29.21	$43.99	$87.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $154.40 / $154.40 / $154.40	Professional		$154.40	$154.40	$154.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $43.99 / $61.59	Professional		$35.19	$43.99	$61.59
United Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $30.18 / $32.42	Facility		$19.80	$30.18	$32.42
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $26.17 / $84.50	Professional		$18.48	$26.17	$84.50