Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.85 / $34.85 / $199.91	Facility		$34.85	$34.85	$199.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $38.49 / $75.00	Professional		$34.85	$38.49	$75.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.05 / $88.72 / $216.73	Facility		$29.05	$88.72	$216.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $42.17 / $66.19	Professional		$42.17	$42.17	$66.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $116.95 / $169.62	Facility		$85.50	$116.95	$169.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $106.00 / $207.57	Professional		$63.71	$106.00	$207.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $44.23 / $114.09	Facility		$44.23	$44.23	$114.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $48.89	Professional		$37.60	$37.60	$48.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $67.06 / $81.55	Professional		$65.23	$67.06	$81.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $67.38 / $131.02	Professional		$44.92	$67.38	$131.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $179.65 / $310.80 / $318.54	Facility		$179.65	$310.80	$318.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $452.18 / $630.37 / $630.37	Professional		$452.18	$630.37	$630.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $69.14 / $141.73	Professional		$60.00	$69.14	$141.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.37 / $67.06 / $104.56	Facility		$43.37	$67.06	$104.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $44.23 / $78.12	Professional		$37.60	$44.23	$78.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $130.77 / $130.77	Professional		$130.77	$130.77	$130.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.65 / $65.23 / $84.81	Professional		$53.65	$65.23	$84.81
United Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $38.52 / $82.36	Professional		$32.20	$38.52	$82.36