Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $134.90 / $831.76	Facility		$54.95	$134.90	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $239.88	Professional		$50.12	$67.61	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $151.36 / $331.13	Facility		$37.15	$151.36	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $169.82	Professional		$66.07	$85.11	$169.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $147.91 / $186.21	Facility		$46.77	$147.91	$186.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $162.18	Professional		$52.48	$69.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $114.82 / $275.42	Facility		$50.12	$114.82	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $234.42	Professional		$36.31	$51.29	$234.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $89.13	Professional		$56.23	$66.07	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $125.89	Professional		$58.88	$72.44	$125.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $489.78	Professional		$323.59	$489.78	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $77.62 / $194.98	Facility		$53.70	$77.62	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $204.17	Professional		$38.90	$66.07	$204.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $95.50	Professional		$52.48	$63.10	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $66.07 / $66.07	Facility		$27.54	$66.07	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $128.82	Professional		$27.54	$37.15	$128.82