Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $71.97 / $929.71	Professional		$47.00	$71.97	$929.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $115.30 / $405.20	Professional		$70.73	$115.30	$405.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $85.07 / $207.64	Professional		$60.81	$85.07	$207.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.28 / $201.28 / $201.28	Facility		$201.28	$201.28	$201.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $74.19 / $242.51	Professional		$39.64	$74.19	$242.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $174.32 / $235.33	Professional		$66.78	$174.32	$235.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.07 / $161.24 / $264.02	Professional		$132.07	$161.24	$264.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $298.63 / $611.58 / $716.63	Facility		$298.63	$611.58	$716.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $882.93 / $882.93 / $1,123.05	Professional		$882.93	$882.93	$1,123.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $82.92 / $130.28	Professional		$47.35	$82.92	$130.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.39 / $168.25 / $237.94	Facility		$85.39	$168.25	$237.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $122.09 / $361.75	Professional		$39.76	$122.09	$361.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $507.50 / $507.50 / $507.50	Professional		$507.50	$507.50	$507.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $141.00 / $193.88	Professional		$141.00	$141.00	$193.88
United Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $81.64 / $287.80	Professional		$45.02	$81.64	$287.80