Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.23 / $411.48 / $941.37	Facility		$96.23	$411.48	$941.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $96.23 / $586.16	Professional		$48.32	$96.23	$586.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.88 / $207.00 / $486.00	Facility		$99.88	$207.00	$486.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $71.81 / $184.58	Professional		$45.02	$71.81	$184.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $176.38 / $1,156.43	Facility		$59.40	$176.38	$1,156.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $80.72 / $149.30	Professional		$56.50	$80.72	$149.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $117.97 / $305.14	Facility		$61.50	$117.97	$305.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $111.10 / $162.03	Professional		$59.63	$111.10	$162.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $91.16 / $145.86	Professional		$91.16	$91.16	$145.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $91.16 / $198.73	Professional		$72.93	$91.16	$198.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $433.01 / $433.01	Facility		$168.00	$433.01	$433.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $45.58 / $45.58	Professional		$45.58	$45.58	$45.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.37 / $105.47 / $240.62	Facility		$68.37	$105.47	$240.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.52 / $91.16 / $182.32	Professional		$60.52	$91.16	$182.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $319.97 / $319.97 / $319.97	Professional		$319.97	$319.97	$319.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $91.16 / $127.62	Professional		$72.93	$91.16	$127.62
United Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $54.23 / $181.40	Professional		$38.29	$54.23	$181.40