Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $117.49 / $229.09	Facility		$45.71	$117.49	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $46.77 / $380.19	Professional		$19.05	$46.77	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $134.90 / $288.40	Facility		$26.92	$134.90	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $32.36 / $93.33	Professional		$15.85	$32.36	$93.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $95.50 / $269.15	Facility		$48.98	$95.50	$269.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $72.44	Professional		$15.85	$22.39	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $102.33 / $204.17	Facility		$27.54	$102.33	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.88 / $112.20	Professional		$14.79	$33.88	$112.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $57.54 / $77.62	Professional		$21.88	$57.54	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $102.33	Professional		$52.48	$63.10	$102.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $436.52	Professional		$288.40	$436.52	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $58.88 / $151.36	Facility		$32.36	$58.88	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $38.90 / $112.20	Professional		$14.79	$38.90	$112.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $66.07	Professional		$38.90	$50.12	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $57.54 / $57.54	Facility		$24.55	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $24.55 / $109.65	Professional		$11.75	$24.55	$109.65