Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $216.75 / $464.81	Facility		$53.85	$216.75	$464.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $52.58 / $329.92	Professional		$41.05	$52.58	$329.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.99 / $123.76 / $312.00	Facility		$54.99	$123.76	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $71.38 / $169.02	Professional		$25.34	$71.38	$169.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $568.25	Facility		$58.90	$100.00	$568.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $41.18 / $103.52	Professional		$28.83	$41.18	$103.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.69 / $88.04 / $177.07	Facility		$37.69	$88.04	$177.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $51.46 / $252.11	Professional		$31.69	$51.46	$252.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $52.45 / $69.27	Professional		$45.61	$52.45	$69.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $59.01 / $112.88	Professional		$46.18	$59.01	$112.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.28 / $243.72 / $243.72	Facility		$89.28	$243.72	$243.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $256.55 / $256.55 / $384.83	Professional		$256.55	$256.55	$384.83
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 $43.72 / $66.03 / $148.63	Facility		$43.72	$66.03	$148.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $61.01 / $141.81	Professional		$34.08	$61.01	$141.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $180.09 / $180.09	Professional		$180.09	$180.09	$180.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $51.08 / $77.54	Professional		$41.05	$51.08	$77.54
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $26.61 / $135.34	Professional		$21.55	$26.61	$135.34