Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $88.42 / $334.06	Facility		$20.42	$88.42	$334.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $39.36 / $72.47	Professional		$18.64	$39.36	$72.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $92.65 / $385.82	Facility		$74.83	$92.65	$385.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $34.90 / $120.38	Professional		$4.26	$34.90	$120.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.86 / $70.79 / $114.16	Facility		$36.86	$70.79	$114.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $28.88 / $56.59	Professional		$20.50	$28.88	$56.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $79.72 / $85.00	Facility		$72.00	$79.72	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $53.14 / $117.79	Professional		$20.90	$53.14	$117.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $30.66 / $100.48	Professional		$23.21	$30.66	$100.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.83 / $69.70 / $121.98	Professional		$46.83	$69.70	$121.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $126.62 / $283.08 / $331.08	Facility		$126.62	$283.08	$331.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $411.85 / $411.85 / $518.40	Professional		$411.85	$411.85	$518.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $33.72 / $85.70	Professional		$26.58	$33.72	$85.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $62.73 / $96.46	Facility		$23.95	$62.73	$96.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $60.80 / $117.79	Professional		$22.97	$60.80	$117.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $173.19 / $173.19 / $173.19	Professional		$173.19	$173.19	$173.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $43.51 / $89.40	Professional		$25.14	$43.51	$89.40
United Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $53.05 / $112.50	Professional		$24.27	$53.05	$112.50