Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.24 / $211.42 / $480.60	Facility		$51.24	$211.42	$480.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $51.24 / $376.93	Professional		$38.35	$51.24	$376.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.83 / $141.38 / $347.86	Facility		$62.83	$141.38	$347.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $37.78 / $120.07	Professional		$23.45	$37.78	$120.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $536.85	Facility		$58.90	$100.00	$536.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $37.93 / $116.70	Professional		$26.55	$37.93	$116.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.15 / $100.58 / $196.22	Facility		$41.15	$100.58	$196.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $50.53 / $239.61	Professional		$31.56	$50.53	$239.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $58.62 / $79.14	Professional		$46.63	$58.62	$79.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $67.41 / $128.96	Professional		$52.76	$67.41	$128.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $278.45 / $278.45	Facility		$102.00	$278.45	$278.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $361.80 / $361.80 / $439.65	Professional		$361.80	$361.80	$439.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $58.62 / $58.62	Professional		$58.62	$58.62	$58.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $81.19 / $153.41	Facility		$52.76	$81.19	$153.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $67.41 / $158.84	Professional		$31.76	$67.41	$158.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $205.75 / $205.75 / $205.75	Professional		$205.75	$205.75	$205.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $59.79 / $99.65	Professional		$46.90	$59.79	$99.65
United Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $58.62 / $58.62	Facility		$24.62	$58.62	$58.62
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $26.48 / $150.83	Professional		$24.62	$26.48	$150.83