Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $279.94 / $665.03	Facility		$67.98	$279.94	$665.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $61.36 / $167.47	Professional		$42.83	$61.36	$167.47
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 / $152.13	Professional		$31.81	$50.74	$152.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $124.62 / $853.88	Facility		$59.30	$124.62	$853.88
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 $45.01 / $86.52 / $215.63	Facility		$45.01	$86.52	$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 $57.26 / $64.41 / $99.00	Professional		$57.26	$64.41	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $64.41 / $140.41	Professional		$51.53	$64.41	$140.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $307.83 / $307.83	Facility		$120.36	$307.83	$307.83
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 $53.43 / $70.84 / $163.29	Facility		$53.43	$70.84	$163.29
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 / $58.41 / $80.16	Professional		$51.53	$58.41	$80.16
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $123.73	Professional		$27.05	$38.65	$123.73