Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $600.41	Facility		$72.00	$72.00	$600.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $72.00 / $600.41	Professional		$60.53	$72.00	$600.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $90.17 / $186.71	Facility		$29.25	$90.17	$186.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $200.00	Professional		$39.00	$39.00	$200.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $125.10 / $487.94	Facility		$92.60	$125.10	$487.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.37 / $526.01	Professional		$100.00	$173.37	$526.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $38.08 / $53.74	Professional		$38.08	$38.08	$53.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $58.82 / $70.58	Professional		$47.06	$58.82	$70.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $119.57 / $264.76	Professional		$41.17	$119.57	$264.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $580.79 / $580.79	Facility		$227.07	$580.79	$580.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $886.50 / $888.53 / $888.53	Professional		$886.50	$888.53	$888.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $258.11	Professional		$70.00	$70.00	$258.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $58.82 / $80.58	Facility		$28.81	$58.82	$80.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $52.17 / $92.34	Professional		$38.08	$52.17	$92.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $392.77 / $392.77 / $392.77	Professional		$392.77	$392.77	$392.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $47.06 / $47.06	Professional		$47.06	$47.06	$47.06
United Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $95.03 / $197.50	Professional		$78.48	$95.03	$197.50