Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.19 / $254.86 / $1,332.26	Facility		$162.19	$254.86	$1,332.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $162.19 / $819.38	Professional		$101.94	$162.19	$819.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.58 / $286.87 / $638.41	Facility		$136.58	$286.87	$638.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $182.12 / $431.26	Professional		$54.99	$182.12	$431.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.50 / $100.00 / $359.35	Facility		$80.50	$100.00	$359.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $98.61 / $296.31	Professional		$69.03	$98.61	$296.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $220.33 / $426.57	Facility		$93.60	$220.33	$426.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $92.91 / $399.79	Professional		$68.16	$92.91	$399.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $127.43 / $172.03	Professional		$101.94	$127.43	$172.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $146.54 / $288.77	Professional		$114.69	$146.54	$288.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $221.73 / $605.29 / $605.29	Facility		$221.73	$605.29	$605.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $637.15 / $637.15 / $955.73	Professional		$637.15	$637.15	$955.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $152.91 / $152.91	Professional		$152.91	$152.91	$152.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.49 / $165.66 / $376.30	Facility		$108.49	$165.66	$376.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $146.54 / $341.63	Professional		$82.48	$146.54	$341.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $447.27 / $447.27 / $447.27	Professional		$447.27	$447.27	$447.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $114.69 / $173.30	Professional		$101.94	$114.69	$173.30
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $63.81 / $281.37	Professional		$53.52	$63.81	$281.37