Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $263.03 / $512.86	Facility		$97.72	$263.03	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $302.00	Professional		$33.88	$45.71	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $107.15 / $229.09	Facility		$26.30	$107.15	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $112.20	Professional		$22.91	$38.90	$112.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $128.82 / $616.60	Facility		$58.88	$128.82	$616.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $131.83	Professional		$36.31	$52.48	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $77.62 / $169.82	Facility		$30.90	$77.62	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $81.28	Professional		$27.54	$45.71	$81.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $74.13	Professional		$45.71	$45.71	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $102.33	Professional		$37.15	$45.71	$102.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $45.71 / $45.71	Professional		$22.91	$45.71	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $54.95 / $131.83	Facility		$33.88	$54.95	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $42.66 / $123.03	Professional		$27.54	$42.66	$123.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $77.62	Professional		$37.15	$46.77	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $27.54 / $45.71	Facility		$20.89	$27.54	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $27.54 / $91.20	Professional		$19.50	$27.54	$91.20