Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.06 / $186.12 / $986.57	Facility		$77.06	$186.12	$986.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $89.06 / $609.17	Professional		$77.06	$89.06	$609.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.54 / $215.13 / $486.00	Facility		$101.54	$215.13	$486.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $79.70 / $195.18	Professional		$45.34	$79.70	$195.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $117.10 / $267.17	Facility		$68.50	$117.10	$267.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $81.29 / $242.97	Professional		$56.90	$81.29	$242.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $163.80 / $329.82	Facility		$69.59	$163.80	$329.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $75.13 / $329.67	Professional		$52.57	$75.13	$329.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $94.74 / $127.90	Professional		$81.61	$94.74	$127.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $108.95 / $208.43	Professional		$85.27	$108.95	$208.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $164.85 / $450.02 / $450.02	Facility		$164.85	$450.02	$450.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $473.70 / $473.70 / $710.55	Professional		$473.70	$473.70	$710.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $113.69 / $113.69	Professional		$113.69	$113.69	$113.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.29 / $113.69 / $286.95	Facility		$81.29	$113.69	$286.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $109.28 / $259.91	Professional		$63.07	$109.28	$259.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $332.53 / $332.53 / $332.53	Professional		$332.53	$332.53	$332.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $91.40 / $138.74	Professional		$75.79	$91.40	$138.74
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $52.61 / $190.14	Professional		$39.79	$52.61	$190.14