Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.86 / $82.86 / $398.08	Facility		$82.86	$82.86	$398.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $82.86 / $295.00	Professional		$72.58	$82.86	$295.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.93 / $211.52 / $437.99	Facility		$62.93	$211.52	$437.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $84.03 / $144.75	Professional		$75.94	$84.03	$144.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $163.35 / $291.69	Facility		$95.50	$163.35	$291.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $183.07 / $426.42	Professional		$74.56	$183.07	$426.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.53 / $86.21 / $86.21	Facility		$64.53	$86.21	$86.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $91.91	Professional		$62.93	$62.93	$91.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $41.38 / $151.78	Professional		$34.47	$41.38	$151.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.79 / $96.59 / $213.87	Professional		$82.79	$96.59	$213.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $261.49 / $706.68 / $706.68	Facility		$261.49	$706.68	$706.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $910.65 / $910.65 / $1,304.25	Professional		$910.65	$910.65	$1,304.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $377.13 / $377.13 / $377.13	Professional		$377.13	$377.13	$377.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $121.98 / $144.88	Facility		$44.44	$121.98	$144.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $86.21 / $137.97	Professional		$62.93	$86.21	$137.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $260.41 / $260.41 / $260.41	Professional		$260.41	$260.41	$260.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $58.62 / $110.38	Professional		$34.47	$58.62	$110.38
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $68.83 / $133.44	Professional		$62.50	$68.83	$133.44