Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.25 / $368.08 / $784.75	Facility		$116.25	$368.08	$784.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $113.16 / $446.00	Professional		$85.26	$113.16	$446.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.68 / $217.53 / $488.44	Facility		$102.68	$217.53	$488.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $73.76 / $240.85	Professional		$63.04	$73.76	$240.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $158.07 / $1,074.16	Facility		$58.90	$158.07	$1,074.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $75.34 / $231.81	Professional		$52.75	$75.34	$231.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $164.39 / $320.69	Facility		$70.37	$164.39	$320.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $123.58 / $472.49	Professional		$62.73	$123.58	$472.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $95.80 / $129.33	Professional		$76.64	$95.80	$129.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $113.04 / $217.10	Professional		$86.22	$113.04	$217.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.69 / $455.05 / $455.05	Facility		$166.69	$455.05	$455.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $479.00 / $487.81 / $718.50	Professional		$479.00	$487.81	$718.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $114.96 / $114.96	Professional		$114.96	$114.96	$114.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.22 / $124.54 / $280.94	Facility		$86.22	$124.54	$280.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.37 / $119.75 / $284.56	Professional		$65.37	$119.75	$284.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $336.25 / $336.25 / $336.25	Professional		$336.25	$336.25	$336.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $86.22 / $130.29	Professional		$76.64	$86.22	$130.29
United Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $50.30 / $230.68	Professional		$40.24	$50.30	$230.68