Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.71 / $501.47 / $1,122.55	Facility		$108.71	$501.47	$1,122.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $108.71 / $662.29	Professional		$68.50	$108.71	$662.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.86 / $233.88 / $525.15	Facility		$112.86	$233.88	$525.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $81.13 / $208.57	Professional		$50.87	$81.13	$208.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $199.30 / $1,306.16	Facility		$59.90	$199.30	$1,306.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.85 / $91.21 / $168.68	Professional		$63.85	$91.21	$168.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $133.29 / $344.79	Facility		$70.84	$133.29	$344.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $122.41 / $183.11	Professional		$67.27	$122.41	$183.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $103.00 / $164.80	Professional		$99.00	$103.00	$164.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $103.00 / $224.54	Professional		$82.40	$103.00	$224.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $489.25 / $489.25	Facility		$215.00	$489.25	$489.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $51.50 / $51.50	Professional		$51.50	$51.50	$51.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $119.17 / $257.50	Facility		$76.48	$119.17	$257.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $103.00 / $206.00	Professional		$67.58	$103.00	$206.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $361.53 / $361.53 / $361.53	Professional		$361.53	$361.53	$361.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $103.00 / $144.19	Professional		$82.40	$103.00	$144.19
United Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $61.28 / $199.13	Professional		$43.26	$61.28	$199.13