Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.14 / $308.99 / $655.40	Facility		$74.14	$308.99	$655.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $69.56 / $331.91	Professional		$47.75	$69.56	$331.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $216.90 / $487.01	Facility		$104.66	$216.90	$487.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $73.15 / $143.28	Professional		$39.86	$73.15	$143.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $830.68	Facility		$58.70	$100.00	$830.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $57.54 / $134.99	Professional		$40.28	$57.54	$134.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $137.22 / $319.76	Facility		$66.75	$137.22	$319.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $109.86 / $145.59	Professional		$59.44	$109.86	$145.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $95.52 / $105.07	Professional		$10.27	$95.52	$105.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $95.52 / $216.47	Professional		$76.42	$95.52	$216.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.87 / $453.72 / $453.72	Facility		$186.87	$453.72	$453.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $47.76 / $47.76	Professional		$47.76	$47.76	$47.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.52 / $95.52 / $227.87	Facility		$62.52	$95.52	$227.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $95.52 / $133.86	Professional		$59.81	$95.52	$133.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $335.27 / $335.27 / $335.27	Professional		$335.27	$335.27	$335.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $17.46 / $85.97	Professional		$10.48	$17.46	$85.97
United Facility/Professional Facility Modifier Low / Median / High Price $42.98 / $55.40 / $65.62	Facility		$42.98	$55.40	$65.62
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $46.62 / $158.72	Professional		$40.11	$46.62	$158.72