Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.25 / $96.89 / $366.77	Facility		$70.25	$96.89	$366.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $88.08 / $98.89	Professional		$39.93	$88.08	$98.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.14 / $137.58 / $338.49	Facility		$61.14	$137.58	$338.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $73.77 / $174.69	Professional		$22.82	$73.77	$174.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.24 / $100.00 / $160.85	Facility		$41.24	$100.00	$160.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $46.59 / $117.12	Professional		$32.61	$46.59	$117.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.90 / $98.63 / $190.96	Facility		$41.90	$98.63	$190.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $48.98 / $153.97	Professional		$30.29	$48.98	$153.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $57.04 / $77.00	Professional		$45.63	$57.04	$77.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $65.59 / $125.49	Professional		$51.34	$65.59	$125.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $270.94 / $270.94	Facility		$99.25	$270.94	$270.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $285.20 / $427.80	Professional		$285.20	$285.20	$427.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.02 / $77.00 / $168.27	Facility		$53.02	$77.00	$168.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $65.59 / $117.09	Professional		$37.68	$65.59	$117.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $200.21 / $200.21 / $200.21	Professional		$200.21	$200.21	$200.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $51.34 / $77.56	Professional		$45.63	$51.34	$77.56
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $23.96 / $153.19	Professional		$23.96	$23.96	$153.19