Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $106.38 / $239.57	Facility		$23.99	$106.38	$239.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $23.99 / $372.94	Professional		$15.51	$23.99	$372.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.16 / $139.90 / $344.18	Facility		$62.16	$139.90	$344.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $23.20 / $87.00	Professional		$15.80	$23.20	$87.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $92.60 / $253.02	Facility		$48.76	$92.60	$253.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $67.67	Professional		$12.43	$17.76	$67.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.32 / $98.00 / $194.16	Facility		$37.32	$98.00	$194.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $35.47 / $121.79	Professional		$14.91	$35.47	$121.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $58.00 / $78.30	Professional		$21.83	$58.00	$78.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $66.70 / $127.60	Professional		$52.20	$66.70	$127.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.92 / $275.50 / $275.50	Facility		$100.92	$275.50	$275.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $290.00 / $435.00	Professional		$290.00	$290.00	$435.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $58.00	Professional		$58.00	$58.00	$58.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $66.45 / $150.80	Facility		$33.49	$66.45	$150.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $62.17 / $116.00	Professional		$15.20	$62.17	$116.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $50.48 / $66.01	Professional		$39.61	$50.48	$66.01
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $24.36 / $115.23	Professional		$11.77	$24.36	$115.23