Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $134.90 / $363.08	Facility		$79.43	$134.90	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $363.08	Professional		$40.74	$64.57	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $128.82 / $275.42	Facility		$25.70	$128.82	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $114.82	Professional		$22.39	$23.44	$114.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $125.89 / $154.88	Facility		$39.81	$125.89	$154.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $128.82	Professional		$32.36	$43.65	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $97.72 / $199.53	Facility		$37.15	$97.72	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $66.07 / $85.11	Professional		$29.51	$66.07	$85.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $89.13	Professional		$54.95	$54.95	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $123.03	Professional		$44.67	$54.95	$123.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $66.07 / $66.07	Professional		$33.11	$66.07	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $72.44 / $169.82	Facility		$47.86	$72.44	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.95 / $112.20	Professional		$29.51	$54.95	$112.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $95.50	Professional		$44.67	$56.23	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.90 / $54.95	Facility		$25.12	$30.90	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.12 / $100.00	Professional		$23.44	$25.12	$100.00