Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.02 / $132.12 / $300.39	Facility		$32.02	$132.12	$300.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $32.02 / $261.70	Professional		$19.44	$32.02	$261.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $98.17 / $312.00	Facility		$43.62	$98.17	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $34.79 / $119.65	Professional		$16.28	$34.79	$119.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $95.60 / $337.81	Facility		$53.00	$95.60	$337.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.71 / $87.39	Professional		$16.60	$23.71	$87.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $69.84 / $136.27	Facility		$28.58	$69.84	$136.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $35.03 / $149.47	Professional		$19.75	$35.03	$149.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $40.70 / $54.95	Professional		$29.15	$40.70	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $46.81 / $89.54	Professional		$36.63	$46.81	$89.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.81 / $193.33 / $193.33	Facility		$70.81	$193.33	$193.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $305.25 / $386.73 / $397.33	Professional		$305.25	$386.73	$397.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $48.84 / $48.84	Professional		$48.84	$48.84	$48.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $52.91 / $108.01	Facility		$33.15	$52.91	$108.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $46.23 / $110.12	Professional		$19.98	$46.23	$110.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $142.85 / $142.85 / $142.85	Professional		$142.85	$142.85	$142.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $41.51 / $69.19	Professional		$32.56	$41.51	$69.19
United Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $24.42 / $137.35	Professional		$22.34	$24.42	$137.35