Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.15 / $71.61 / $433.37	Facility		$64.15	$71.61	$433.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $87.09 / $433.37	Professional		$71.61	$87.09	$433.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $134.04 / $401.07	Facility		$10.53	$134.04	$401.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $102.98 / $262.52	Professional		$93.13	$102.98	$262.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $248.61 / $386.14	Facility		$96.60	$248.61	$386.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $120.03 / $132.91 / $357.68	Professional		$120.03	$132.91	$357.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $96.60 / $196.78	Facility		$96.60	$96.60	$196.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $96.60 / $156.75	Professional		$82.11	$96.60	$156.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $123.34 / $123.34 / $148.01	Professional		$123.34	$123.34	$148.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $132.35 / $330.87	Professional		$113.44	$132.35	$330.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $224.52 / $652.11 / $652.11	Facility		$224.52	$652.11	$652.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.26 / $99.89 / $133.05	Facility		$74.26	$99.89	$133.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $96.60 / $107.40	Professional		$82.11	$96.60	$107.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $283.50 / $283.50 / $283.50	Professional		$283.50	$283.50	$283.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $123.34 / $185.01	Professional		$101.08	$123.34	$185.01
United Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $82.94 / $214.24	Professional		$71.19	$82.94	$214.24