Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.14 / $437.93 / $997.33	Facility		$106.14	$437.93	$997.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $106.14 / $464.02	Professional		$93.65	$106.14	$464.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.84 / $281.11 / $625.60	Facility		$133.84	$281.11	$625.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $146.78 / $347.58	Professional		$49.95	$146.78	$347.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $164.83 / $1,120.08	Facility		$59.40	$164.83	$1,120.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $81.17 / $204.05	Professional		$56.82	$81.17	$204.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.23 / $215.91 / $418.03	Facility		$91.23	$215.91	$418.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $102.04 / $512.90	Professional		$64.44	$102.04	$512.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $124.87 / $168.57	Professional		$99.89	$124.87	$168.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $143.60 / $282.98	Professional		$112.38	$143.60	$282.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $217.27 / $883.04 / $883.04	Facility		$217.27	$883.04	$883.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $624.35 / $624.35 / $936.53	Professional		$624.35	$624.35	$936.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $87.40 / $87.40	Professional		$87.40	$87.40	$87.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.46 / $149.84 / $358.85	Facility		$101.46	$149.84	$358.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.77 / $143.60 / $338.15	Professional		$67.77	$143.60	$338.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $438.29 / $438.29 / $438.29	Professional		$438.29	$438.29	$438.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $112.38 / $169.81	Professional		$99.90	$112.38	$169.81
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $56.82 / $276.89	Professional		$52.45	$56.82	$276.89