Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $58.46 / $328.38	Facility		$58.46	$58.46	$328.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $58.46 / $189.78	Professional		$48.01	$58.46	$189.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.74 / $123.18 / $312.00	Facility		$54.74	$123.18	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $60.73 / $143.82	Professional		$20.43	$60.73	$143.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.92 / $100.00 / $144.02	Facility		$36.92	$100.00	$144.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $56.38 / $140.97	Professional		$39.47	$56.38	$140.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $88.31 / $170.98	Facility		$37.52	$88.31	$170.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $44.02 / $138.38	Professional		$27.13	$44.02	$138.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $51.07 / $68.94	Professional		$40.85	$51.07	$68.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $58.73 / $112.35	Professional		$45.96	$58.73	$112.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.86 / $242.58 / $242.58	Facility		$88.86	$242.58	$242.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $263.00 / $383.03	Professional		$263.00	$263.00	$383.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.48 / $66.39 / $150.66	Facility		$47.48	$66.39	$150.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $58.73 / $102.14	Professional		$33.85	$58.73	$102.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $179.25 / $179.25 / $179.25	Professional		$179.25	$179.25	$179.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $45.96 / $69.45	Professional		$40.86	$45.96	$69.45
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $21.65 / $101.47	Professional		$21.45	$21.65	$101.47