Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $288.40 / $562.34	Facility		$107.15	$288.40	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $331.13	Professional		$33.11	$50.12	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $117.49 / $251.19	Facility		$28.84	$117.49	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $42.66 / $117.49	Professional		$25.12	$42.66	$117.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $141.25 / $676.08	Facility		$60.26	$141.25	$676.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $144.54	Professional		$39.81	$57.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $85.11 / $186.21	Facility		$33.88	$85.11	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.98 / $89.13	Professional		$29.51	$48.98	$89.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $81.28	Professional		$50.12	$50.12	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $112.20	Professional		$40.74	$50.12	$112.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $50.12	Professional		$25.12	$50.12	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $60.26 / $151.36	Facility		$37.15	$60.26	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $120.23	Professional		$30.20	$46.77	$120.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $85.11	Professional		$40.74	$51.29	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.20 / $50.12	Facility		$22.91	$30.20	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $100.00	Professional		$21.38	$30.20	$100.00