Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.48 / $104.13 / $376.09	Facility		$62.48	$104.13	$376.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $104.13 / $376.09	Professional		$29.25	$104.13	$376.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.69 / $141.08 / $347.09	Facility		$62.69	$141.08	$347.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $90.31 / $213.85	Professional		$23.40	$90.31	$213.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $100.00 / $164.94	Facility		$42.29	$100.00	$164.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $72.30 / $180.79	Professional		$50.61	$72.30	$180.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $101.13 / $195.80	Facility		$38.02	$101.13	$195.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $50.22 / $157.87	Professional		$31.22	$50.22	$157.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $58.49 / $78.95	Professional		$46.79	$58.49	$78.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $67.26 / $128.68	Professional		$52.64	$67.26	$128.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.77 / $277.83 / $277.83	Facility		$101.77	$277.83	$277.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $292.45 / $438.68	Professional		$292.45	$292.45	$438.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.79 / $76.80 / $172.55	Facility		$46.79	$76.80	$172.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $67.26 / $120.06	Professional		$38.64	$67.26	$120.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $205.29 / $205.29 / $205.29	Professional		$205.29	$205.29	$205.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $52.64 / $79.54	Professional		$46.79	$52.64	$79.54
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $24.57 / $115.81	Professional		$24.57	$24.57	$115.81