Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.98 / $31.74 / $312.06	Facility		$28.98	$31.74	$312.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $48.76 / $312.06	Professional		$31.74	$48.76	$312.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $59.88 / $158.32	Facility		$49.72	$59.88	$158.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $69.12 / $100.60	Professional		$52.00	$69.12	$100.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $128.04 / $188.73	Facility		$97.00	$128.04	$188.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $143.51 / $334.27	Professional		$58.45	$143.51	$334.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $85.92 / $85.92	Facility		$77.40	$85.92	$85.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $125.25	Professional		$44.13	$44.13	$125.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $108.17 / $129.80	Professional		$86.54	$108.17	$129.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $75.72 / $167.66	Professional		$64.90	$75.72	$167.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $219.59 / $513.80 / $513.80	Facility		$219.59	$513.80	$513.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $538.69 / $538.69 / $811.28	Professional		$538.69	$538.69	$811.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $221.74	Professional		$32.34	$32.34	$221.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.61 / $102.95 / $112.23	Facility		$29.61	$102.95	$112.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $102.95	Professional		$44.13	$44.13	$102.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $204.14 / $204.14 / $204.14	Professional		$204.14	$204.14	$204.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $86.54 / $86.54	Professional		$86.54	$86.54	$86.54
United Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $45.86 / $104.65	Professional		$41.18	$45.86	$104.65