Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $987.01	Facility		$175.00	$175.00	$987.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $175.00 / $218.75	Professional		$102.08	$175.00	$218.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.19 / $314.70 / $769.04	Facility		$168.19	$314.70	$769.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $63.24 / $230.25	Professional		$61.40	$63.24	$230.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $110.98 / $432.87	Facility		$92.60	$110.98	$432.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $99.78 / $189.58	Professional		$69.84	$99.78	$189.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.78 / $216.12 / $502.39	Facility		$99.78	$216.12	$502.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $164.12 / $220.96	Professional		$89.80	$164.12	$220.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $168.85 / $272.37	Professional		$153.50	$168.85	$272.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.80 / $153.50 / $334.63	Professional		$122.80	$153.50	$334.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.60 / $729.13 / $729.13	Facility		$245.60	$729.13	$729.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $92.10 / $92.10	Professional		$92.10	$92.10	$92.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.45 / $159.71 / $378.36	Facility		$107.45	$159.71	$378.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $146.76 / $227.89	Professional		$92.10	$146.76	$227.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $538.78 / $538.78 / $538.78	Professional		$538.78	$538.78	$538.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $122.80 / $153.50 / $214.90	Professional		$122.80	$153.50	$214.90
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $64.47 / $244.07	Professional		$64.47	$64.47	$244.07