Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $223.71 / $414.15	Facility		$47.97	$223.71	$414.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $47.96 / $113.54	Professional		$34.94	$47.96	$113.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $105.33 / $312.00	Facility		$46.81	$105.33	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $33.49 / $102.95	Professional		$19.80	$33.49	$102.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $502.59	Facility		$57.50	$100.00	$502.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $35.52 / $108.67	Professional		$24.86	$35.52	$108.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $74.95 / $147.11	Facility		$32.08	$74.95	$147.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $43.27 / $215.38	Professional		$26.10	$43.27	$215.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $43.67 / $58.95	Professional		$22.17	$43.67	$58.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $51.53 / $98.96	Professional		$39.29	$51.53	$98.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $207.43 / $207.43	Facility		$75.98	$207.43	$207.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $327.52 / $329.81 / $329.81	Professional		$327.52	$329.81	$329.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $52.40 / $52.40	Professional		$52.40	$52.40	$52.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.88 / $60.70 / $129.27	Facility		$40.88	$60.70	$129.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $52.40 / $123.28	Professional		$29.56	$52.40	$123.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $153.28 / $153.28 / $153.28	Professional		$153.28	$153.28	$153.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $34.94 / $43.67	Professional		$22.61	$34.94	$43.67
United Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $23.86 / $96.42	Professional		$18.34	$23.86	$96.42