Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $33.17 / $188.47	Facility		$33.17	$33.17	$188.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $121.20 / $278.70	Professional		$93.19	$121.20	$278.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.50 / $127.64 / $186.07	Facility		$108.50	$127.64	$186.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $148.66 / $331.06	Professional		$91.77	$148.66	$331.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $103.15 / $312.04	Professional		$72.20	$103.15	$312.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.08 / $278.08 / $278.08	Facility		$278.08	$278.08	$278.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $125.63 / $418.63	Professional		$76.18	$125.63	$418.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $116.49 / $157.26	Professional		$100.98	$116.49	$157.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $128.13 / $203.86	Professional		$104.84	$128.13	$203.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $202.69 / $556.67 / $556.67	Facility		$202.69	$556.67	$556.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $873.68 / $957.98 / $957.98	Professional		$873.68	$957.98	$957.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $139.79 / $139.79	Professional		$139.79	$139.79	$139.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $139.79 / $281.52	Facility		$105.55	$139.79	$281.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $145.61 / $328.15	Professional		$85.88	$145.61	$328.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $408.87 / $408.87 / $408.87	Professional		$408.87	$408.87	$408.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $93.19 / $1,514.70	Professional		$93.19	$93.19	$1,514.70
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $99.01 / $319.24	Professional		$69.89	$99.01	$319.24