Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.38 / $81.91 / $468.80	Facility		$73.38	$81.91	$468.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $91.76 / $468.80	Professional		$81.91	$91.76	$468.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $151.54 / $453.42	Facility		$10.66	$151.54	$453.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $113.24 / $296.79	Professional		$105.76	$113.24	$296.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $263.04 / $365.98	Facility		$95.50	$263.04	$365.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $133.28 / $133.28 / $386.96	Professional		$133.28	$133.28	$386.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $197.29	Facility		$123.50	$123.50	$197.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $121.41 / $179.25	Professional		$104.98	$121.41	$179.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.57 / $128.57 / $154.28	Professional		$128.57	$128.57	$154.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $138.06 / $345.15	Professional		$118.34	$138.06	$345.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $239.97 / $725.63 / $725.63	Facility		$239.97	$725.63	$725.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $117.32 / $145.52	Facility		$84.93	$117.32	$145.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $123.50 / $132.93	Professional		$104.98	$123.50	$132.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $306.67 / $306.67 / $306.67	Professional		$306.67	$306.67	$306.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $128.57 / $192.86	Professional		$114.27	$128.57	$192.86
United Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $84.93 / $188.73	Professional		$78.36	$84.93	$188.73