Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $290.69 / $665.03	Facility		$67.98	$290.69	$665.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $75.23 / $565.07	Professional		$46.71	$75.23	$565.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.29 / $203.00 / $476.27	Facility		$96.29	$203.00	$476.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $52.72 / $146.75	Professional		$35.15	$52.72	$146.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $124.62 / $817.11	Facility		$59.40	$124.62	$817.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $57.03 / $109.70	Professional		$39.92	$57.03	$109.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.12 / $113.72 / $287.60	Facility		$57.12	$113.72	$287.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $101.19 / $133.71	Professional		$47.33	$101.19	$133.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $87.88 / $99.00	Professional		$61.99	$87.88	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $87.88 / $191.58	Professional		$70.30	$87.88	$191.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $195.11 / $417.43 / $417.43	Facility		$195.11	$417.43	$417.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $43.94 / $43.94	Professional		$43.94	$43.94	$43.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $85.68 / $210.10	Facility		$56.56	$85.68	$210.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $83.27 / $139.44	Professional		$47.99	$83.27	$139.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $308.45 / $308.45 / $308.45	Professional		$308.45	$308.45	$308.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $87.88 / $123.03	Professional		$70.30	$87.88	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $38.75 / $129.16	Professional		$36.90	$38.75	$129.16