Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.30 / $227.90 / $521.38	Facility		$53.30	$227.90	$521.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $40.40 / $195.45	Professional		$26.76	$40.40	$195.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.33 / $121.81 / $312.00	Facility		$55.33	$121.81	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $39.79 / $103.27	Professional		$24.94	$39.79	$103.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $100.00 / $640.67	Facility		$59.30	$100.00	$640.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $44.71 / $100.00	Professional		$31.30	$44.71	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $65.36 / $169.07	Facility		$33.81	$65.36	$169.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $59.85 / $91.97	Professional		$32.89	$59.85	$91.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $50.50 / $99.00	Professional		$50.50	$50.50	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $50.50 / $110.09	Professional		$40.40	$50.50	$110.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $239.88 / $239.88	Facility		$107.00	$239.88	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $25.25 / $25.25	Professional		$25.25	$25.25	$25.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $60.40 / $144.31	Facility		$36.78	$60.40	$144.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $50.50 / $101.00	Professional		$33.61	$50.50	$101.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $177.25 / $177.25	Professional		$177.25	$177.25	$177.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $50.50 / $70.70	Professional		$40.40	$50.50	$70.70
United Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $30.04 / $97.66	Professional		$21.21	$30.04	$97.66