Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.90 / $247.66 / $605.03	Facility		$90.90	$247.66	$605.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $90.09 / $359.08	Professional		$65.22	$90.09	$359.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $126.98 / $397.72	Facility		$104.95	$126.98	$397.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $128.54 / $236.81	Professional		$79.59	$128.54	$236.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $101.20 / $724.75	Facility		$58.90	$101.20	$724.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.38 / $116.51 / $260.01	Professional		$88.38	$116.51	$260.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $81.28 / $81.28	Facility		$58.40	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $107.49 / $236.46	Professional		$75.56	$107.49	$236.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $91.93 / $124.11	Professional		$16.72	$91.93	$124.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $93.37 / $185.00	Professional		$70.61	$93.37	$185.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $318.56 / $372.69	Facility		$137.80	$318.56	$372.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $484.81 / $484.81 / $586.13	Professional		$484.81	$484.81	$586.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $98.64	Professional		$32.34	$32.34	$98.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $94.15 / $148.80	Facility		$68.97	$94.15	$148.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $124.86 / $209.27	Professional		$80.62	$124.86	$209.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $263.89 / $263.89 / $263.89	Professional		$263.89	$263.89	$263.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $74.34 / $102.22	Professional		$25.08	$74.34	$102.22
United Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $88.88 / $194.47	Professional		$61.05	$88.88	$194.47