Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.04 / $350.00 / $447.01	Facility		$139.04	$350.00	$447.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $350.00 / $350.00	Professional		$52.14	$350.00	$350.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.17 / $167.68 / $407.23	Facility		$76.17	$167.68	$407.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $28.64 / $104.28	Professional		$27.81	$28.64	$104.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.26 / $100.00 / $196.05	Facility		$50.26	$100.00	$196.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $45.19 / $100.00	Professional		$31.63	$45.19	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.58 / $97.88 / $232.73	Facility		$48.58	$97.88	$232.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $84.67 / $105.84	Professional		$40.67	$84.67	$105.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $69.52 / $111.23	Professional		$69.52	$69.52	$111.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $69.52 / $135.56	Professional		$55.62	$69.52	$135.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.23 / $330.22 / $330.22	Facility		$111.23	$330.22	$330.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $41.71 / $41.71	Professional		$41.71	$41.71	$41.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $83.42 / $245.00	Facility		$55.62	$83.42	$245.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $66.04 / $103.16	Professional		$41.71	$66.04	$103.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $244.01 / $244.01 / $244.01	Professional		$244.01	$244.01	$244.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $69.52 / $97.33	Professional		$55.62	$69.52	$97.33
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $30.38 / $178.87	Professional		$29.20	$30.38	$178.87