Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $263.03 / $645.65	Facility		$93.33	$263.03	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $380.19	Professional		$42.66	$52.48	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $134.90 / $288.40	Facility		$33.11	$134.90	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $162.18	Professional		$28.84	$42.66	$162.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $162.18 / $776.25	Facility		$60.26	$162.18	$776.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $158.49	Professional		$32.36	$47.86	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $89.13	Professional		$66.07	$70.79	$89.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $93.33	Professional		$51.29	$57.54	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $128.82	Professional		$46.77	$57.54	$128.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $57.54	Professional		$28.84	$57.54	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $63.10 / $114.82	Facility		$40.74	$63.10	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $114.82	Professional		$53.70	$63.10	$114.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $97.72	Professional		$46.77	$58.88	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $34.67 / $57.54	Facility		$26.30	$34.67	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $114.82	Professional		$24.55	$34.67	$114.82