Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $110.32 / $250.98	Facility		$55.16	$110.32	$250.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.71 / $125.21	Professional		$55.16	$55.71	$125.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.64 / $61.23 / $79.43	Facility		$49.64	$61.23	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $98.53	Professional		$55.16	$55.16	$98.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.58 / $57.79 / $100.00	Facility		$54.58	$57.79	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $56.20 / $84.94	Professional		$56.20	$56.20	$84.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $52.04 / $55.16	Facility		$52.04	$52.04	$55.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $55.16 / $64.20	Professional		$54.60	$55.16	$64.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.87 / $53.59 / $64.31	Professional		$42.87	$53.59	$64.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $63.43 / $125.00	Professional		$49.64	$63.43	$125.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $236.62 / $236.62	Facility		$75.00	$236.62	$236.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $55.16 / $76.73	Facility		$52.04	$55.16	$76.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $55.16 / $78.23	Professional		$54.58	$55.16	$78.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $85.06 / $85.06	Professional		$85.06	$85.06	$85.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $60.68 / $93.78	Professional		$44.13	$60.68	$93.78
United Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $55.16 / $105.14	Professional		$49.64	$55.16	$105.14