Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $130.72 / $747.15	Facility		$58.00	$130.72	$747.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $67.48 / $169.94	Professional		$52.29	$67.48	$169.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.05 / $157.65 / $382.86	Facility		$70.05	$157.65	$382.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $81.19 / $192.26	Professional		$32.28	$81.19	$192.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.26 / $100.00 / $184.32	Facility		$47.26	$100.00	$184.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $57.88 / $135.88	Professional		$40.52	$57.88	$135.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $113.00 / $227.52	Facility		$48.00	$113.00	$227.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $53.42 / $234.43	Professional		$36.38	$53.42	$234.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $65.36 / $88.24	Professional		$56.16	$65.36	$88.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $75.16 / $148.12	Professional		$58.82	$75.16	$148.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $113.73 / $310.45 / $310.45	Facility		$113.73	$310.45	$310.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $490.20	Professional		$326.80	$326.80	$490.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $78.43 / $78.43	Professional		$78.43	$78.43	$78.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.75 / $84.96 / $197.96	Facility		$60.75	$84.96	$197.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $76.91 / $179.28	Professional		$43.36	$76.91	$179.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $229.41 / $229.41 / $229.41	Professional		$229.41	$229.41	$229.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $62.90 / $95.47	Professional		$52.29	$62.90	$95.47
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $37.45 / $145.30	Professional		$27.45	$37.45	$145.30