Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $118.87 / $260.77	Facility		$22.29	$118.87	$260.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $133.16 / $279.93	Professional		$21.52	$133.16	$279.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.00 / $530.00 / $3,398.00	Facility		$221.00	$530.00	$3,398.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $232.05 / $468.24	Professional		$26.87	$232.05	$468.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $74.67 / $213.60	Facility		$35.15	$74.67	$213.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $100.00 / $379.01	Professional		$22.82	$100.00	$379.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $32.03 / $526.80	Facility		$32.03	$32.03	$526.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $193.26 / $466.34	Professional		$25.02	$193.26	$466.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $124.26 / $263.07	Professional		$20.60	$124.26	$263.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $142.96 / $309.14	Professional		$19.18	$142.96	$309.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $258.35 / $258.35 / $279.42	Facility		$258.35	$258.35	$279.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $1,264.84 / $1,287.53	Professional		$572.00	$1,264.84	$1,287.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $129.88	Professional		$32.34	$32.34	$129.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $128.29 / $274.77	Facility		$22.24	$128.29	$274.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $197.65 / $488.26	Professional		$26.20	$197.65	$488.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $77.01 / $672.07	Professional		$77.01	$77.01	$672.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $163.65 / $225.02	Professional		$16.60	$163.65	$225.02
United Facility/Professional Professional Modifier Low / Median / High Price $153.36 / $217.08 / $494.16	Professional		$153.36	$217.08	$494.16