Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $239.88 / $467.74	Facility		$87.10	$239.88	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $275.42	Professional		$32.36	$43.65	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $97.72 / $208.93	Facility		$23.99	$97.72	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $112.20	Professional		$33.11	$50.12	$112.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $117.49 / $562.34	Facility		$57.54	$117.49	$562.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $120.23	Professional		$33.11	$45.71	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $72.44 / $173.78	Facility		$31.62	$72.44	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $131.83	Professional		$27.54	$38.90	$131.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $42.66 / $56.23	Professional		$37.15	$42.66	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $72.44	Professional		$37.15	$45.71	$72.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $346.74	Professional		$316.23	$316.23	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $64.57 / $123.03	Facility		$36.31	$64.57	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $117.49	Professional		$27.54	$45.71	$117.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $562.34	Professional		$33.11	$46.77	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $41.69 / $41.69	Facility		$17.38	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $83.18	Professional		$17.38	$24.55	$83.18