Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.09 / $109.43 / $437.94	Facility		$96.09	$109.43	$437.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $80.76 / $180.26	Professional		$61.99	$80.76	$180.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.97 / $70.90 / $186.60	Facility		$58.97	$70.90	$186.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $107.01 / $196.65	Professional		$61.71	$107.01	$196.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $134.66 / $646.03	Facility		$59.90	$134.66	$646.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $81.25 / $143.90	Professional		$48.38	$81.25	$143.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $89.56 / $130.00	Facility		$65.00	$89.56	$130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $102.17 / $207.76	Professional		$56.06	$102.17	$207.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $78.61 / $86.23 / $116.41	Professional		$78.61	$86.23	$116.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $77.61 / $203.00	Professional		$66.48	$77.61	$203.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $167.13 / $652.19 / $819.22	Facility		$167.13	$652.19	$819.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $558.21 / $576.63 / $596.17	Professional		$558.21	$576.63	$596.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $114.24	Professional		$32.34	$32.34	$114.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.17 / $90.06 / $135.81	Facility		$62.17	$90.06	$135.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $102.60 / $193.24	Professional		$55.67	$102.60	$193.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $240.39 / $240.39 / $240.39	Professional		$240.39	$240.39	$240.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $122.17 / $211.44	Professional		$76.81	$122.17	$211.44
United Facility/Professional Professional Modifier Low / Median / High Price $58.24 / $90.74 / $204.47	Professional		$58.24	$90.74	$204.47