Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.85 / $444.99 / $806.84	Facility		$107.85	$444.99	$806.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $107.85 / $533.69	Professional		$66.40	$107.85	$533.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $195.77 / $475.00	Facility		$88.96	$195.77	$475.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $175.02 / $395.69	Professional		$33.20	$175.02	$395.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.01 / $102.59 / $234.06	Facility		$60.01	$102.59	$234.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $53.98 / $215.64	Professional		$37.79	$53.98	$215.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $143.51 / $277.83	Facility		$60.67	$143.51	$277.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $66.45 / $227.66	Professional		$44.41	$66.45	$227.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $83.00 / $112.05	Professional		$66.40	$83.00	$112.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $95.45 / $188.09	Professional		$74.70	$95.45	$188.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $144.41 / $394.25 / $394.25	Facility		$144.41	$394.25	$394.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $415.00 / $622.50	Professional		$415.00	$415.00	$622.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $58.10 / $58.10	Professional		$58.10	$58.10	$58.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.40 / $107.90 / $238.51	Facility		$66.40	$107.90	$238.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.79 / $91.30 / $166.00	Professional		$48.79	$91.30	$166.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $291.33 / $291.33 / $291.33	Professional		$291.33	$291.33	$291.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $74.70 / $112.88	Professional		$66.40	$74.70	$112.88
United Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $36.95 / $166.58	Professional		$34.86	$36.95	$166.58