Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.03 / $162.19 / $870.31	Facility		$88.03	$162.19	$870.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $77.80 / $168.74	Professional		$60.00	$77.80	$168.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.67 / $175.32 / $435.40	Facility		$79.67	$175.32	$435.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $180.41 / $363.38	Professional		$35.92	$180.41	$363.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.74 / $100.00 / $209.61	Facility		$53.74	$100.00	$209.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $64.42 / $192.54	Professional		$45.09	$64.42	$192.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.59 / $128.50 / $258.75	Facility		$54.59	$128.50	$258.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $59.39 / $260.60	Professional		$41.29	$59.39	$260.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $74.36 / $100.35	Professional		$64.66	$74.36	$100.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $85.48 / $168.00	Professional		$66.90	$85.48	$168.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $353.07 / $353.07	Facility		$129.33	$353.07	$353.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $371.65 / $371.65 / $557.48	Professional		$371.65	$371.65	$557.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $89.20 / $89.20	Professional		$89.20	$89.20	$89.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.08 / $97.59 / $234.46	Facility		$69.08	$97.59	$234.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $86.50 / $223.19	Professional		$49.39	$86.50	$223.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $260.89 / $260.89 / $260.89	Professional		$260.89	$260.89	$260.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $72.42 / $109.92	Professional		$59.46	$72.42	$109.92
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $41.69 / $194.63	Professional		$31.22	$41.69	$194.63