Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.12 / $170.51 / $535.88	Professional		$108.12	$170.51	$535.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.39 / $197.91 / $413.50	Professional		$105.39	$197.91	$413.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $215.22 / $447.95	Professional		$133.58	$215.22	$447.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.36 / $167.36 / $167.36	Facility		$167.36	$167.36	$167.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $106.19 / $318.10	Professional		$65.81	$106.19	$318.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $101.51 / $177.68 / $244.51	Professional		$101.51	$177.68	$244.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.82 / $165.39 / $271.68	Professional		$123.82	$165.39	$271.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $602.50 / $653.51 / $653.51	Facility		$602.50	$653.51	$653.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $835.13 / $1,049.85 / $1,275.08	Professional		$835.13	$1,049.85	$1,275.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $90.88 / $151.46	Professional		$90.88	$90.88	$151.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.42 / $168.75 / $272.14	Facility		$90.42	$168.75	$272.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $182.30 / $413.93	Professional		$73.65	$182.30	$413.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $546.98 / $546.98 / $653.49	Professional		$546.98	$546.98	$653.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $119.67 / $146.41 / $201.31	Professional		$119.67	$146.41	$201.31
United Facility/Professional Professional Modifier Low / Median / High Price $107.40 / $118.04 / $430.37	Professional		$107.40	$118.04	$430.37