Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $185.26 / $393.79	Facility		$41.00	$185.26	$393.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $41.98 / $310.18	Professional		$27.75	$41.98	$310.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.70 / $116.35 / $312.00	Facility		$51.70	$116.35	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $30.96 / $115.96	Professional		$19.30	$30.96	$115.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $100.00 / $439.89	Facility		$57.87	$100.00	$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 $33.86 / $82.79 / $161.50	Facility		$33.86	$82.79	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $41.54 / $196.37	Professional		$25.76	$41.54	$196.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $48.24 / $65.12	Professional		$38.21	$48.24	$65.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $55.48 / $106.13	Professional		$43.42	$55.48	$106.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.94 / $229.14 / $229.14	Facility		$83.94	$229.14	$229.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $289.44 / $289.44 / $361.80	Professional		$289.44	$289.44	$361.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $48.24 / $48.24	Professional		$48.24	$48.24	$48.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $66.98 / $126.28	Facility		$43.42	$66.98	$126.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $55.48 / $130.58	Professional		$26.07	$55.48	$130.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $169.32 / $169.32 / $169.32	Professional		$169.32	$169.32	$169.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $49.20 / $82.01	Professional		$38.59	$49.20	$82.01
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $21.11 / $96.82	Professional		$20.26	$21.11	$96.82