Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $290.61 / $682.48	Facility		$67.95	$290.61	$682.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $77.02 / $682.48	Professional		$47.80	$77.02	$682.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.30 / $241.01 / $541.15	Facility		$116.30	$241.01	$541.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $53.76 / $147.05	Professional		$42.46	$53.76	$147.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $124.94 / $816.75	Facility		$59.90	$124.94	$816.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $57.01 / $109.67	Professional		$39.90	$57.01	$109.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $137.36 / $342.19	Facility		$68.98	$137.36	$342.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $121.84 / $161.59	Professional		$47.43	$121.84	$161.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $106.14 / $116.75	Professional		$57.81	$106.14	$116.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.91 / $106.14 / $230.96	Professional		$84.91	$106.14	$230.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $246.56 / $504.17 / $504.17	Facility		$246.56	$504.17	$504.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $107.55 / $268.37	Facility		$68.98	$107.55	$268.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $83.24 / $139.44	Professional		$47.99	$83.24	$139.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $372.55 / $372.55 / $372.55	Professional		$372.55	$372.55	$372.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $92.87 / $116.09	Professional		$84.58	$92.87	$116.09
United Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $44.58 / $162.38	Professional		$37.78	$44.58	$162.38