Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $206.05 / $468.39	Facility		$49.94	$206.05	$468.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $49.94 / $358.41	Professional		$38.86	$49.94	$358.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.74 / $134.44 / $330.77	Facility		$59.74	$134.44	$330.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $36.82 / $114.26	Professional		$22.30	$36.82	$114.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $523.22	Facility		$58.90	$100.00	$523.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $36.97 / $113.73	Professional		$25.88	$36.97	$113.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $95.65 / $186.58	Facility		$39.13	$95.65	$186.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $48.05 / $233.73	Professional		$30.76	$48.05	$233.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $55.74 / $75.25	Professional		$44.59	$55.74	$75.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $64.09 / $122.63	Professional		$50.17	$64.09	$122.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.99 / $264.77 / $264.77	Facility		$96.99	$264.77	$264.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $343.25 / $343.25 / $418.05	Professional		$343.25	$343.25	$418.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $55.74 / $55.74	Professional		$55.74	$55.74	$55.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.28 / $78.67 / $145.78	Facility		$50.28	$78.67	$145.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $64.09 / $151.05	Professional		$31.02	$64.09	$151.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $195.64 / $195.64 / $195.64	Professional		$195.64	$195.64	$195.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $56.85 / $94.76	Professional		$44.59	$56.85	$94.76
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $25.11 / $115.49	Professional		$23.41	$25.11	$115.49