Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.64 / $359.04 / $672.00	Facility		$53.64	$359.04	$672.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $33.95 / $204.80	Professional		$25.41	$33.95	$204.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $185.79 / $461.41	Facility		$86.31	$185.79	$461.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $31.51 / $80.51	Professional		$22.36	$31.51	$80.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.40 / $97.90 / $361.21	Facility		$55.40	$97.90	$361.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $25.12 / $92.31	Professional		$17.57	$25.12	$92.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $101.93 / $253.95	Facility		$32.26	$101.93	$253.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $83.84 / $119.78	Professional		$21.82	$83.84	$119.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $78.77 / $99.00	Professional		$24.30	$78.77	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $78.77 / $153.60	Professional		$63.02	$78.77	$153.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $126.03 / $374.16 / $374.16	Facility		$126.03	$374.16	$374.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $47.26 / $47.26	Professional		$47.26	$47.26	$47.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.70 / $67.58 / $160.38	Facility		$38.70	$67.58	$160.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $47.26 / $117.02	Professional		$22.58	$47.26	$117.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $276.48 / $276.48 / $276.48	Professional		$276.48	$276.48	$276.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $63.02 / $78.77	Professional		$55.93	$63.02	$78.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $33.08 / $94.52	Professional		$16.64	$33.08	$94.52