Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $92.99 / $92.99	Facility		$83.17	$92.99	$92.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.88 / $90.91 / $160.97	Professional		$79.88	$90.91	$160.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.01 / $117.01 / $529.57	Facility		$117.01	$117.01	$529.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $126.29 / $254.12	Professional		$94.71	$126.29	$254.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $97.32 / $429.08	Facility		$92.60	$97.32	$429.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $113.98 / $240.86	Professional		$83.01	$113.98	$240.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $100.28 / $100.28	Facility		$100.28	$100.28	$100.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $117.69 / $236.60	Professional		$89.92	$117.69	$236.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $96.78 / $131.51	Professional		$87.67	$96.78	$131.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $100.22 / $202.00	Professional		$79.97	$100.22	$202.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $205.22 / $530.40 / $761.17	Facility		$205.22	$530.40	$761.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $931.22 / $931.22 / $931.22	Professional		$931.22	$931.22	$931.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.22 / $112.74 / $284.70	Facility		$86.22	$112.74	$284.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.01 / $131.72 / $233.61	Professional		$92.01	$131.72	$233.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $292.39 / $292.39 / $292.39	Professional		$292.39	$292.39	$292.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.18 / $107.50 / $159.49	Professional		$78.18	$107.50	$159.49
United Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $92.40 / $187.57	Professional		$69.29	$92.40	$187.57