Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $380.19 / $758.58	Facility		$141.25	$380.19	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $446.68	Professional		$48.98	$67.61	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $154.88 / $338.84	Facility		$38.90	$154.88	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $158.49	Professional		$33.11	$57.54	$158.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $190.55 / $912.01	Facility		$60.26	$190.55	$912.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $190.55	Professional		$53.70	$77.62	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $112.20 / $245.47	Facility		$44.67	$112.20	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $102.33	Professional		$35.48	$58.88	$102.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $100.00	Professional		$67.61	$67.61	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $147.91	Professional		$53.70	$67.61	$147.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $67.61 / $67.61	Professional		$33.88	$67.61	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $81.28 / $199.53	Facility		$50.12	$81.28	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $141.25	Professional		$39.81	$58.88	$141.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $114.82	Professional		$53.70	$69.18	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $40.74 / $67.61	Facility		$30.20	$40.74	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $134.90	Professional		$28.18	$40.74	$134.90