Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $250.40 / $561.55	Facility		$60.55	$250.40	$561.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $61.13 / $458.01	Professional		$38.86	$61.13	$458.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.05 / $169.00 / $417.24	Facility		$78.05	$169.00	$417.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $42.66 / $124.68	Professional		$28.49	$42.66	$124.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $101.56 / $663.93	Facility		$59.30	$101.56	$663.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $46.35 / $100.00	Professional		$32.45	$46.35	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.30 / $92.18 / $233.12	Facility		$46.30	$92.18	$233.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $81.77 / $108.41	Professional		$38.53	$81.77	$108.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $71.23 / $99.00	Professional		$56.98	$71.23	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $71.23 / $155.28	Professional		$56.98	$71.23	$155.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.94 / $338.34 / $338.34	Facility		$123.94	$338.34	$338.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $35.61 / $35.61	Professional		$35.61	$35.61	$35.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.01 / $71.23 / $169.94	Facility		$46.01	$71.23	$169.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $67.67 / $113.17	Professional		$38.95	$67.67	$113.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $250.01 / $250.01 / $250.01	Professional		$250.01	$250.01	$250.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $71.23 / $99.72	Professional		$56.98	$71.23	$99.72
United Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $32.04 / $117.87	Professional		$29.92	$32.04	$117.87