Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.66 / $299.80 / $478.83	Facility		$73.66	$299.80	$478.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $81.02 / $395.20	Professional		$56.16	$81.02	$395.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.23 / $169.00 / $411.21	Facility		$75.23	$169.00	$411.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $97.64 / $231.22	Professional		$52.00	$97.64	$231.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $114.39 / $777.34	Facility		$58.90	$114.39	$777.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $56.33 / $141.61	Professional		$39.43	$56.33	$141.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.56 / $120.46 / $242.22	Facility		$51.56	$120.46	$242.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $84.61 / $345.60	Professional		$45.84	$84.61	$345.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $71.75 / $94.77	Professional		$62.39	$71.75	$94.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $80.73 / $154.44	Professional		$63.18	$80.73	$154.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $333.45 / $333.45	Facility		$122.15	$333.45	$333.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $351.00 / $526.50	Professional		$351.00	$351.00	$526.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.78 / $90.35 / $203.30	Facility		$59.78	$90.35	$203.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $87.75 / $194.18	Professional		$52.00	$87.75	$194.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $246.40 / $246.40 / $246.40	Professional		$246.40	$246.40	$246.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $69.88 / $106.06	Professional		$56.16	$69.88	$106.06
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $36.40 / $187.79	Professional		$29.48	$36.40	$187.79