Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.39 / $62.39 / $399.64	Facility		$62.39	$62.39	$399.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $62.39 / $110.82	Professional		$38.21	$62.39	$110.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.93 / $56.69 / $137.84	Facility		$43.93	$56.69	$137.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $63.26 / $68.31	Professional		$50.68	$63.26	$68.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $163.99 / $292.85	Facility		$95.50	$163.99	$292.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $104.56 / $350.12	Professional		$74.86	$104.56	$350.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $115.12	Facility		$67.20	$67.20	$115.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $49.06 / $77.70	Professional		$49.06	$49.06	$77.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $74.04 / $88.85	Professional		$29.53	$74.04	$88.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $74.55 / $165.08	Professional		$22.97	$74.55	$165.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.85 / $324.51 / $324.51	Facility		$137.85	$324.51	$324.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $525.47 / $539.41 / $539.41	Professional		$525.47	$539.41	$539.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.71 / $209.71 / $209.71	Professional		$209.71	$209.71	$209.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $33.46 / $84.03	Facility		$32.81	$33.46	$84.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $49.06 / $71.64	Professional		$49.06	$49.06	$71.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $261.43 / $261.43 / $261.43	Professional		$261.43	$261.43	$261.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $74.04 / $96.25	Professional		$26.25	$74.04	$96.25
United Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $124.56 / $124.56	Facility		$105.88	$124.56	$124.56
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $51.83 / $119.28	Professional		$43.19	$51.83	$119.28