Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $496.94 / $864.75	Facility		$100.09	$496.94	$864.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $67.98 / $396.12	Professional		$46.71	$67.98	$396.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $155.36 / $377.29	Facility		$70.56	$155.36	$377.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $50.74 / $276.00	Professional		$31.81	$50.74	$276.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $124.62 / $817.11	Facility		$59.30	$124.62	$817.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $57.03 / $105.47	Professional		$39.92	$57.03	$105.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $84.58 / $215.63	Facility		$44.59	$84.58	$215.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $78.13 / $114.45	Professional		$42.02	$78.13	$114.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $64.41 / $99.00	Professional		$56.19	$64.41	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $64.41 / $141.69	Professional		$51.53	$64.41	$141.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.59 / $307.83 / $334.00	Facility		$211.59	$307.83	$334.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $38.64 / $38.64	Professional		$38.64	$38.64	$38.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $64.41 / $161.03	Facility		$41.87	$64.41	$161.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $64.41 / $128.82	Professional		$42.89	$64.41	$128.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $226.07 / $226.07 / $226.07	Professional		$226.07	$226.07	$226.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $57.97 / $78.67	Professional		$51.53	$57.97	$78.67
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.32 / $127.97	Professional		$27.05	$38.32	$127.97