Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $207.92 / $475.68	Facility		$48.62	$207.92	$475.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $48.62 / $296.23	Professional		$30.64	$48.62	$296.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.48 / $111.12 / $312.00	Facility		$50.48	$111.12	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $36.29 / $94.22	Professional		$22.75	$36.29	$94.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $584.57	Facility		$58.90	$100.00	$584.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $40.79 / $100.00	Professional		$28.55	$40.79	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.57 / $59.62 / $154.24	Facility		$31.57	$59.62	$154.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $56.17 / $94.44	Professional		$30.13	$56.17	$94.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $46.07 / $99.00	Professional		$46.07	$46.07	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $46.07 / $100.43	Professional		$36.86	$46.07	$100.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $218.83 / $218.83	Facility		$96.00	$218.83	$218.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $23.03 / $23.03	Professional		$23.03	$23.03	$23.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $53.31 / $115.18	Facility		$33.54	$53.31	$115.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $46.07 / $94.44	Professional		$30.61	$46.07	$94.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $161.69 / $161.69	Professional		$161.69	$161.69	$161.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $46.07 / $64.50	Professional		$36.86	$46.07	$64.50
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $27.41 / $89.10	Professional		$19.35	$27.41	$89.10