Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.86 / $208.52 / $490.84	Facility		$59.86	$208.52	$490.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $66.23 / $309.45	Professional		$43.50	$66.23	$309.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $99.26 / $312.00	Facility		$28.73	$99.26	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $90.25 / $135.82	Professional		$28.73	$90.25	$135.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $100.00 / $175.23	Facility		$44.93	$100.00	$175.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $46.69 / $100.00	Professional		$32.68	$46.69	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $87.48 / $208.01	Facility		$43.43	$87.48	$208.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $64.88 / $85.79	Professional		$32.68	$64.88	$85.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $62.14 / $99.42	Professional		$62.14	$62.14	$99.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $62.14 / $135.00	Professional		$49.71	$62.14	$135.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.42 / $295.17 / $295.17	Facility		$99.42	$295.17	$295.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $88.05 / $200.77	Facility		$57.76	$88.05	$200.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $62.14 / $79.81	Professional		$32.68	$62.14	$79.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $192.01 / $192.01	Professional		$192.01	$192.01	$192.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $62.14 / $87.00	Professional		$49.71	$62.14	$87.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $33.52 / $137.21	Professional		$26.10	$33.52	$137.21