Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.82 / $172.55 / $392.19	Facility		$41.82	$172.55	$392.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $42.78 / $343.81	Professional		$32.54	$42.78	$343.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.31 / $128.97 / $317.30	Facility		$57.31	$128.97	$317.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $30.84 / $102.74	Professional		$21.39	$30.84	$102.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.63 / $99.71 / $438.09	Facility		$57.63	$99.71	$438.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $30.95 / $100.00	Professional		$24.76	$30.95	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.34 / $91.77 / $179.01	Facility		$37.34	$91.77	$179.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $45.88 / $195.51	Professional		$25.82	$45.88	$195.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $53.47 / $72.18	Professional		$38.06	$53.47	$72.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $61.49 / $117.63	Professional		$48.12	$61.49	$117.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.04 / $253.98 / $253.98	Facility		$93.04	$253.98	$253.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $287.45 / $287.45 / $401.03	Professional		$287.45	$287.45	$401.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $64.16 / $64.16	Professional		$64.16	$64.16	$64.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.91 / $71.78 / $139.84	Facility		$43.91	$71.78	$139.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $59.92 / $145.19	Professional		$26.11	$59.92	$145.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $187.67 / $187.67 / $187.67	Professional		$187.67	$187.67	$187.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $54.54 / $90.90	Professional		$42.78	$54.54	$90.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $22.97 / $106.23	Professional		$20.51	$22.97	$106.23