Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $363.08 / $758.58	Facility		$134.90	$363.08	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $512.86	Professional		$64.57	$77.62	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $223.87 / $478.63	Facility		$45.71	$223.87	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.62 / $181.97	Professional		$39.81	$77.62	$181.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $234.42 / $870.96	Facility		$58.88	$234.42	$870.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $257.04	Professional		$51.29	$74.13	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $165.96 / $338.84	Facility		$64.57	$165.96	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $144.54	Professional		$51.29	$97.72	$144.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $95.50 / $104.71	Professional		$10.23	$95.50	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $218.78	Professional		$75.86	$95.50	$218.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $95.50	Professional		$47.86	$95.50	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $100.00 / $251.19	Facility		$69.18	$100.00	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $194.98	Professional		$51.29	$83.18	$194.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $95.50	Professional		$10.23	$14.45	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $54.95 / $95.50	Facility		$42.66	$54.95	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $169.82	Professional		$39.81	$57.54	$169.82