Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.69 / $437.16 / $749.63	Facility		$141.69	$437.16	$749.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $82.12 / $704.02	Professional		$54.75	$82.12	$704.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.97 / $248.62 / $558.23	Facility		$119.97	$248.62	$558.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $65.16 / $184.06	Professional		$43.80	$65.16	$184.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $155.85 / $1,044.56	Facility		$59.90	$155.85	$1,044.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $71.12 / $136.80	Professional		$49.78	$71.12	$136.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.17 / $143.76 / $358.34	Facility		$71.17	$143.76	$358.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $125.55 / $166.75	Professional		$59.25	$125.55	$166.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $109.49 / $120.44	Professional		$87.44	$109.49	$120.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $109.49 / $248.13	Professional		$87.59	$109.49	$248.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $191.51 / $520.08 / $520.08	Facility		$191.51	$520.08	$520.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $54.74 / $54.74	Professional		$54.74	$54.74	$54.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $109.49 / $261.08	Facility		$70.48	$109.49	$261.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $84.31 / $136.72	Professional		$60.64	$84.31	$136.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $384.30 / $384.30 / $384.30	Professional		$384.30	$384.30	$384.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $97.93 / $122.42	Professional		$87.59	$97.93	$122.42
United Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $48.32 / $184.66	Professional		$45.99	$48.32	$184.66