Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $189.06 / $505.72	Facility		$41.77	$189.06	$505.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $47.34 / $505.72	Professional		$35.43	$47.34	$505.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.18 / $185.51 / $460.71	Facility		$86.18	$185.51	$460.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $33.04 / $86.57	Professional		$31.17	$33.04	$86.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $100.00 / $502.03	Facility		$59.30	$100.00	$502.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $35.04 / $100.00	Professional		$24.53	$35.04	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.96 / $101.78 / $253.56	Facility		$44.96	$101.78	$253.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $85.81 / $119.78	Professional		$29.24	$85.81	$119.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $78.65 / $99.00	Professional		$38.24	$78.65	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $78.65 / $175.44	Professional		$62.92	$78.65	$175.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $214.45 / $373.59 / $373.59	Facility		$214.45	$373.59	$373.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $39.32 / $39.32	Professional		$39.32	$39.32	$39.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.33 / $73.09 / $175.39	Facility		$39.33	$73.09	$175.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $54.40 / $94.38	Professional		$29.53	$54.40	$94.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $276.06 / $276.06 / $276.06	Professional		$276.06	$276.06	$276.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $78.65 / $108.56	Professional		$62.92	$78.65	$108.56
United Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $33.03 / $109.47	Professional		$23.22	$33.03	$109.47