Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.13 / $93.20 / $512.05	Facility		$44.13	$93.20	$512.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $44.13 / $299.64	Professional		$37.28	$44.13	$299.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $112.40 / $312.00	Facility		$49.95	$112.40	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $22.19 / $69.90	Professional		$20.92	$22.19	$69.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $79.56 / $103.92 / $380.18	Facility		$79.56	$103.92	$380.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $37.90 / $113.30	Professional		$26.53	$37.90	$113.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $80.56 / $156.97	Facility		$34.22	$80.56	$156.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $40.72 / $143.25	Professional		$25.83	$40.72	$143.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $46.60 / $62.91	Professional		$38.04	$46.60	$62.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $53.59 / $102.52	Professional		$41.94	$53.59	$102.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.08 / $221.35 / $221.35	Facility		$81.08	$221.35	$221.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $233.00 / $349.50	Professional		$233.00	$233.00	$349.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $46.60 / $46.60	Professional		$46.60	$46.60	$46.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.88 / $59.97 / $137.96	Facility		$40.88	$59.97	$137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $53.59 / $128.06	Professional		$31.07	$53.59	$128.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $163.56 / $163.56 / $163.56	Professional		$163.56	$163.56	$163.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $42.62 / $64.69	Professional		$37.28	$42.62	$64.69
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $24.53 / $93.53	Professional		$19.57	$24.53	$93.53