Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.94 / $253.30 / $488.77	Facility		$59.94	$253.30	$488.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $61.39 / $329.92	Professional		$38.10	$61.39	$329.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.99 / $123.76 / $312.00	Facility		$54.99	$123.76	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $44.48 / $138.36	Professional		$25.34	$44.48	$138.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $647.80	Facility		$58.90	$100.00	$647.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $45.44 / $139.05	Professional		$31.81	$45.44	$139.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.69 / $88.04 / $178.62	Facility		$37.69	$88.04	$178.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $55.29 / $252.11	Professional		$33.53	$55.29	$252.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $52.45 / $69.27	Professional		$45.61	$52.45	$69.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $59.01 / $112.88	Professional		$46.18	$59.01	$112.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.53 / $243.72 / $243.72	Facility		$92.53	$243.72	$243.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $285.62 / $294.19 / $384.83	Professional		$285.62	$294.19	$384.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $66.70 / $151.51	Facility		$46.18	$66.70	$151.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $62.28 / $171.51	Professional		$37.95	$62.28	$171.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $180.09 / $180.09	Professional		$180.09	$180.09	$180.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $51.08 / $77.54	Professional		$41.05	$51.08	$77.54
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.33 / $132.02	Professional		$21.55	$30.33	$132.02