Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $67.94 / $593.20	Facility		$50.74	$67.94	$593.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $56.15 / $318.86	Professional		$38.68	$56.15	$318.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.15 / $119.61 / $312.00	Facility		$53.15	$119.61	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $63.30 / $149.88	Professional		$24.49	$63.30	$149.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.85 / $100.00 / $139.84	Facility		$35.85	$100.00	$139.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.99 / $43.91 / $100.00	Professional		$34.99	$43.91	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.42 / $85.73 / $172.62	Facility		$36.42	$85.73	$172.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $40.54 / $177.92	Professional		$27.61	$40.54	$177.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $49.59 / $66.95	Professional		$36.35	$49.59	$66.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $57.03 / $109.10	Professional		$44.63	$57.03	$109.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.29 / $235.55 / $235.55	Facility		$86.29	$235.55	$235.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $247.95 / $247.95 / $371.93	Professional		$247.95	$247.95	$371.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $49.59 / $49.59	Professional		$49.59	$49.59	$49.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.09 / $64.47 / $150.19	Facility		$46.09	$64.47	$150.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $58.18 / $135.65	Professional		$32.92	$58.18	$135.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $174.06 / $174.06 / $174.06	Professional		$174.06	$174.06	$174.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $44.63 / $61.80	Professional		$37.08	$44.63	$61.80
United Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $49.59 / $49.59	Facility		$20.83	$49.59	$49.59
United Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $28.41 / $127.60	Professional		$20.83	$28.41	$127.60