Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $206.05 / $468.39	Facility		$48.76	$206.05	$468.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $48.76 / $268.52	Professional		$32.57	$48.76	$268.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.76 / $100.73 / $312.00	Facility		$44.76	$100.73	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $36.82 / $107.10	Professional		$20.62	$36.82	$107.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $523.22	Facility		$57.50	$100.00	$523.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $36.97 / $113.12	Professional		$25.88	$36.97	$113.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.67 / $71.65 / $145.36	Facility		$30.67	$71.65	$145.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $45.03 / $205.36	Professional		$27.37	$45.03	$205.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $42.69 / $56.38	Professional		$37.11	$42.69	$56.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $48.02 / $94.64	Professional		$37.58	$48.02	$94.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.90 / $199.32 / $264.00	Facility		$73.90	$199.32	$264.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $313.20 / $343.25 / $343.25	Professional		$313.20	$343.25	$343.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $41.76 / $41.76	Professional		$41.76	$41.76	$41.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.51 / $69.73 / $129.47	Facility		$40.51	$69.73	$129.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $50.53 / $128.11	Professional		$30.76	$50.53	$128.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $146.57 / $146.57 / $146.57	Professional		$146.57	$146.57	$146.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $42.60 / $70.98	Professional		$33.40	$42.60	$70.98
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $25.06 / $83.61	Professional		$17.54	$25.06	$83.61