Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.99 / $173.21 / $393.79	Facility		$40.99	$173.21	$393.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $40.99 / $252.44	Professional		$27.75	$40.99	$252.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.08 / $94.70 / $312.00	Facility		$42.08	$94.70	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $30.96 / $102.58	Professional		$17.32	$30.96	$102.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $98.10 / $439.89	Facility		$57.10	$98.10	$439.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $31.07 / $100.00	Professional		$24.86	$31.07	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $67.37 / $131.43	Facility		$28.84	$67.37	$131.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $38.14 / $193.67	Professional		$23.13	$38.14	$193.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $39.26 / $53.00	Professional		$31.41	$39.26	$53.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $45.15 / $86.37	Professional		$35.33	$45.15	$86.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $186.49 / $206.00	Facility		$73.45	$186.49	$206.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.62 / $325.62 / $325.62	Professional		$325.62	$325.62	$325.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $39.26 / $39.26	Professional		$39.26	$39.26	$39.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.08 / $60.69 / $113.23	Facility		$38.08	$60.69	$113.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $47.50 / $116.94	Professional		$25.95	$47.50	$116.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $40.04 / $66.73	Professional		$31.41	$40.04	$66.73
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $21.11 / $94.53	Professional		$16.48	$21.11	$94.53