Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.19 / $242.63 / $520.32	Facility		$53.19	$242.63	$520.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $53.19 / $195.04	Professional		$26.71	$53.19	$195.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.23 / $121.59 / $312.00	Facility		$55.23	$121.59	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $39.70 / $102.07	Professional		$24.90	$39.70	$102.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $100.00 / $639.32	Facility		$59.30	$100.00	$639.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $44.64 / $100.00	Professional		$31.25	$44.64	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $65.23 / $168.77	Facility		$34.78	$65.23	$168.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $61.54 / $89.75	Professional		$32.89	$61.54	$89.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $50.41 / $99.00	Professional		$50.41	$50.41	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $50.41 / $109.89	Professional		$40.33	$50.41	$109.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $239.45 / $239.45	Facility		$105.00	$239.45	$239.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Professional		$25.20	$25.20	$25.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $58.33 / $126.03	Facility		$36.79	$58.33	$126.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $50.41 / $100.82	Professional		$33.39	$50.41	$100.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $176.93 / $176.93 / $176.93	Professional		$176.93	$176.93	$176.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $50.41 / $70.56	Professional		$40.33	$50.41	$70.56
United Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $29.99 / $113.53	Professional		$21.17	$29.99	$113.53