Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.92 / $115.30 / $274.62	Facility		$48.92	$115.30	$274.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $48.92 / $129.71	Professional		$47.15	$48.92	$129.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.61 / $87.48 / $196.19	Facility		$52.61	$87.48	$196.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $52.07 / $96.19	Professional		$50.10	$52.07	$96.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $56.08 / $100.00	Facility		$50.10	$56.08	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $54.64 / $129.32	Professional		$53.05	$54.64	$129.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Facility		$52.07	$52.07	$52.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $58.94	Professional		$52.07	$52.07	$58.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $56.53 / $76.31	Professional		$56.53	$56.53	$76.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $109.00 / $638.07	Professional		$67.00	$109.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $260.35 / $260.35	Facility		$100.00	$260.35	$260.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $202.61 / $202.61 / $202.61	Professional		$202.61	$202.61	$202.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $113.16 / $113.16	Professional		$113.16	$113.16	$113.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.92 / $52.07 / $64.83	Facility		$48.92	$52.07	$64.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $61.40	Professional		$52.07	$52.07	$61.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $92.67 / $92.67	Professional		$92.67	$92.67	$92.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $67.69 / $78.11	Professional		$52.07	$67.69	$78.11
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $58.94 / $107.51	Professional		$58.94	$58.94	$107.51