Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.47 / $292.77 / $669.81	Facility		$68.47	$292.77	$669.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $75.77 / $417.18	Professional		$48.17	$75.77	$417.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $156.49 / $380.05	Facility		$71.09	$156.49	$380.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $51.11 / $133.00	Professional		$32.04	$51.11	$133.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $125.52 / $823.01	Facility		$59.30	$125.52	$823.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $57.45 / $106.23	Professional		$40.22	$57.45	$106.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.90 / $83.96 / $217.18	Facility		$44.90	$83.96	$217.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $78.77 / $115.05	Professional		$42.44	$78.77	$115.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $64.88 / $99.00	Professional		$53.13	$64.88	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $64.88 / $141.44	Professional		$51.90	$64.88	$141.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.11 / $310.17 / $310.17	Facility		$177.11	$310.17	$310.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Professional		$32.44	$32.44	$32.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.17 / $72.90 / $164.30	Facility		$42.17	$72.90	$164.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.13 / $64.88 / $129.76	Professional		$43.13	$64.88	$129.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $227.72 / $227.72 / $227.72	Professional		$227.72	$227.72	$227.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $64.88 / $90.83	Professional		$51.90	$64.88	$90.83
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $38.93 / $128.90	Professional		$27.25	$38.93	$128.90