Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.83 / $354.21 / $831.59	Facility		$82.83	$354.21	$831.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.27 / $93.87 / $831.59	Professional		$58.27	$93.87	$831.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.71 / $291.14 / $647.94	Facility		$141.71	$291.14	$647.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $65.51 / $168.59	Professional		$51.73	$65.51	$168.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $152.29 / $995.17	Facility		$59.90	$152.29	$995.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $69.48 / $133.66	Professional		$48.64	$69.48	$133.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $167.36 / $416.94	Facility		$84.06	$167.36	$416.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $148.68 / $197.21	Professional		$52.12	$148.68	$197.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $129.33 / $142.26	Professional		$88.35	$129.33	$142.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.46 / $129.33 / $281.41	Professional		$103.46	$129.33	$281.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $225.03 / $614.32 / $614.32	Facility		$225.03	$614.32	$614.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $64.66 / $64.66	Professional		$64.66	$64.66	$64.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.84 / $126.09 / $288.41	Facility		$76.84	$126.09	$288.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $101.46 / $176.99	Professional		$52.53	$101.46	$176.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $453.94 / $453.94 / $453.94	Professional		$453.94	$453.94	$453.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.12 / $103.46 / $129.33	Professional		$90.12	$103.46	$129.33
United Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $54.32 / $197.87	Professional		$46.03	$54.32	$197.87