Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.54 / $245.52 / $561.69	Facility		$63.54	$245.52	$561.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $63.54 / $526.49	Professional		$40.93	$63.54	$526.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.72 / $193.13 / $475.00	Facility		$89.72	$193.13	$475.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $62.70 / $122.82	Professional		$34.18	$62.70	$122.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $712.01	Facility		$58.90	$100.00	$712.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $49.32 / $115.71	Professional		$34.52	$49.32	$115.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.22 / $117.62 / $274.08	Facility		$57.22	$117.62	$274.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $94.16 / $124.94	Professional		$50.92	$94.16	$124.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $81.88 / $99.00	Professional		$10.27	$81.88	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $81.88 / $185.56	Professional		$65.50	$81.88	$185.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.16 / $388.93 / $388.93	Facility		$160.16	$388.93	$388.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $40.94 / $40.94	Professional		$40.94	$40.94	$40.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $81.88 / $195.43	Facility		$40.94	$81.88	$195.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $81.88 / $114.97	Professional		$51.28	$81.88	$114.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $287.39 / $287.39 / $287.39	Professional		$287.39	$287.39	$287.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $17.46 / $73.69	Professional		$10.48	$17.46	$73.69
United Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $39.95 / $138.09	Professional		$34.39	$39.95	$138.09