Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.15 / $68.52 / $411.26	Facility		$61.15	$68.52	$411.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $68.52 / $166.30	Professional		$45.00	$68.52	$166.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.55 / $154.27 / $374.66	Facility		$68.55	$154.27	$374.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $47.70 / $116.80	Professional		$25.58	$47.70	$116.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.24 / $100.00 / $180.37	Facility		$46.24	$100.00	$180.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $6.00 / $19.05	Professional		$4.20	$6.00	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $110.58 / $214.09	Facility		$44.24	$110.58	$214.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $54.87 / $173.46	Professional		$34.00	$54.87	$173.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $70.36 / $86.35	Professional		$63.96	$70.36	$86.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $73.55 / $140.71	Professional		$57.56	$73.55	$140.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.29 / $303.81 / $303.81	Facility		$111.29	$303.81	$303.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $319.80 / $479.70	Professional		$319.80	$319.80	$479.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $76.75 / $76.75	Professional		$76.75	$76.75	$76.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $79.95 / $188.68	Facility		$51.81	$79.95	$188.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $73.55 / $127.92	Professional		$42.43	$73.55	$127.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $224.49 / $224.49 / $224.49	Professional		$224.49	$224.49	$224.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $65.23 / $108.73	Professional		$51.17	$65.23	$108.73
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $127.08	Professional		$26.86	$26.86	$127.08